儿童慢性咳嗽诊断流程的临床分析  

Diagnosis of children with chronic coush flow of clinical analysis

作　　者：陈彩凤[1] 李薇[1] 黄柏枝[1] 

机构地区：[1]东莞市太平人民医院儿科,523900

出　　处：《国际医药卫生导报》2009年第15期27-31,共5页International Medicine and Health Guidance News

摘　　要：目的探讨小儿慢性咳嗽的病因分布，并对小儿慢性咳嗽的程序式诊断方法进行观察分析。方法参考Morice的慢性咳嗽诊断程序，对81例慢性咳嗽进行逐步评估。最后的诊断结果分为明确诊断、疑似诊断和病因未明。结果明确65例（80．3％），疑似诊断15例（18．5％），病因未明1例，81例慢性咳嗽中前几位病因依次为气管、支气管异物（16．9％），咳嗽变异型哮喘，哮喘（15．7％），肺部感染（后）（14．5％），鼻后滴注综合征（8．4％），先天气管／支气管狭窄或其他发育异常（7．2％）。不同的年龄阶段病因分布有一定特征性。结论小儿慢性咳嗽的病因复杂，应用程序式诊断方法可明确大部分病因，其病因分布具有年龄特点；病史、体检、影像学检查及肺功能测定在儿童慢性咳嗽的病因诊断中发挥重要作用；诊断过程应予动态评价，及时随访。最后对Morice诊断程序作出补充。Objective To discuss the pathogeny distributing of chronic cough in children, and to be observed and analyzed the children with chronic cough-diagnosis procedure,Methods Refer to the diagnostic program of Morice＇s chronic cough, 81 patients with chronic cough gradually carry out the assessment. The final diagnosis was divided into a clear diagnosis, and the suspected diagnosis of the cause is still unknown. Results 65 cases were Clear （80.3%）, 15 for suspected cases （18.5%）, 1 case of unknown etiology, 81 cases of chronic cough in the previous fund-raising for the cause of the trachea, bronchial foreign body （16.9%）, cough variant asthma / asthma （15.7 %）, Pneumonia （after） （14.5%）, post-nasal drip syndrome （8.4%）, congenital tracheal ／ stenosis or other developmental abnormalities （7.2 percent）. The cause of the different age distribution of a certain characteristic. Conclusion The cause of children with chronic cough are complex, application-specific ways can to be sure most of the cause, the cause of its distribution characteristics of the age; medical history, physical examination, imaging and lung function of children in the determination of the cause of chronic cough play an important role in diagnosis ; Diagnosis Evaluation process should be dynamic and timely follow-up. Finally, Morice diagnostic procedures to provide additional information.

关 键 词：儿童 慢性咳嗽 诊断程序 

分 类 号：R72[医药卫生—儿科]