小儿慢性咳嗽的诊断体会  

Diagnostic understanding about chronic cough in children

作　　者：计明红[1] 潘家华[1] 

机构地区：[1]安徽省立医院儿科,安徽合肥230001

出　　处：《临床肺科杂志》2011年第1期29-30,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨小儿慢性咳嗽的诊断方法。方法对146例慢性咳嗽患儿临床资料按年龄分婴幼儿、学龄前、学龄儿童三组进行回顾性分析。结果咳嗽变异性哮喘、反复呼吸道感染、上气道咳嗽综合征是小儿慢性咳嗽主要病因,其次为结核感染、上感后慢性咳嗽、支原体感染。不同年龄慢性咳嗽病因不尽相同,年龄越小,反复呼吸道感染所占比率越高,年龄越大,咳嗽变异型哮喘比率越高。结论小儿慢性咳嗽的病因复杂多样,除病史、体检以外,患儿年龄、针对性的辅助检查及试验性治疗的反应都能提供诊断线索。Objective To discuss the detailed diagnosis about chronic cough in children.Methods Retrospective analyses on causes were performed in 146 children with chronic cough,who were divided into three groups by age：infant group,pre-school age group and school age group.Results It was found that the main causes for child chronic cough were cough variant asthma,frequent respiratory infections and syndrome of upper respiratory led cough while the others were listed as tuberculosis infection,chronic cough after upper respiratory infections and mycoplasma infections.Moreover,it was shown that children at different ages had different diseases causes： for the younger children with chronic cough,frequent respiratory infections were more prevalent than other causes because of the higher percentage;and for the older children,cough variant asthma seemed the major reason.Conclusion For children with chronic cough,the causes were both comprehensive and diverse.Therefore,individual ages,specialized lab tests and test treatments which could provide valuable diagnostic clues should be recommended besides medical history and physical examinations.

关 键 词：慢性咳嗽 儿童 诊断 

分 类 号：R725.6[医药卫生—儿科]