儿童慢性咳嗽的病因频率分析——附101例报告  

Etiological frequency analysis of 101 chronic cough children

作　　者：陈彩凤[1] 李薇[1] 黄柏枝[1] 

机构地区：[1]广东东莞市太平人民医院儿科,523900

出　　处：《新医学》2009年第7期439-441,共3页Journal of New Medicine

摘　　要：目的:探讨儿童慢性咳嗽的病因频率分布。方法:对101例慢性咳嗽患儿进行病因调查,并对其中获得明确诊断的病因进行数理分析。结果与结论:101例中,明确诊断82例90例次,其中仅1种病因76例,2种病因4例,3种病因2例,疑似诊断17例(16.8%),病因未明2例(2.0%)。确诊的82例中,主要病因有气管支气管异物,肺炎,咳嗽变异型哮喘或哮喘,鼻后滴流综合征和上呼吸道感染,其病因频率分别为26%、21%、18%、10%、7%。其中1岁以下患儿的病因以肺炎居多(8例次,占67%);1～3岁患儿的病因以气管支气管异物居多(15例次,占54%);大于3岁患儿的病因以咳嗽变异型哮喘或哮喘居多(13例次,占26%)。儿童慢性咳嗽的病因复杂,不同的年龄段患儿的慢性咳嗽病因分布有一定特征性。Objective ： To explore the etiological frequency distribution of chronic cough children. Methods： The causes of 101 children with chronic cough were investigated, and statistically analyzed. Results and conclusion： In 101 cases, 82 cases（90 times） were definitely diagnosed, including 76 cases with only one kind of cause, 4 cases with two kinds of cause, 2 cases with three kinds of cause. There were 17 cases who only could be suspectly diagnosed（ 16.8% ） and 2 cases with unknown diagnosis（2. 0% ）. The main cause of chronic cough in- cluded tracheobronchial foreign body （TBFB）, pneumonia, cough variant asthma or asthma, postnasal drip syn- drome and upper respiratory infection in these 82 definite diagnosis cases. The frequency of above causes was 26%, 21%, 18%, 10% and 7% respectively. Moreover, the main causes of chronic cough children in less than 1 year old, 1 ~3 years old, exceed 3 years old were pneumonia（8 times, 67% ）, TBFB（ 15 times, 54% ）, cough variant asthma or asthma（ 13 times, 26% ） respectively. The cause of chronic cough children is complicated, but the etiological frequency distribution takes on a certain trait in different age.

关 键 词：儿童 慢性咳嗽 病因学 异物 肺炎 咳嗽变异型哮喘 鼻后滴流综合征 

分 类 号：R441[医药卫生—诊断学]