老年鼻后滴漏综合征所致慢性咳嗽患者的临床探讨  

The clinical study of chronic cough induced by postnasal drip syndrome in the aged patient

作　　者：冯长顺[1] 刘红艳[1] 

机构地区：[1]中国人民解放军总医院门诊部干部诊疗科,北京100853

出　　处：《临床肺科杂志》2011年第9期1343-1344,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的提高对老年鼻后滴漏综合征(PNDS)患者的重视,使老年PNDS患者也能够得到及时、针对性的治疗。方法对确诊的52例老年PNDS患者进行详细的临床分析。结果 82.7%(43/52)的老年PNDS患者需多次就医方能到正确诊断;80.8%(42/52)老年PNDS患者无明显的鼻后滴漏感;32.7%(17/52)患者没有明确的鼻炎,或鼻窦炎病史。结论老年PNDS患者临床症状不典型和临床医师对老年PNDS病认识不足是造成延误诊断的主要原因,鼻咽部专科检查和鼻窦X线检查是确诊老年PNDS重要手段。Objective In order to attract more attention to the aged patients with PNDS,so that aged patients with PNDS can be timely,targeted therapy.Methods Made a detailed clinical analysis of 52 cases were diagnosed in patients aged PNDS.Results 82.7%（43/52）patients were more than twice to see doctors before being correctly diagnosed.80.8%（42/52） of aged patients with PNDS no obvious sense of postnasal drip;32.7%（17/52） patients with no clear history of rhinitis,or sinusitis.Conclusions The atypical clinical symptoms and physicians neglect of aged patients are main reason for delayed diagnosis.Nasopharyngeal specialist examination and sinus X-ray examination is an important means of the diagnosis in the aged patient with postnasal drip syndrome.

关 键 词：老年人 鼻后滴漏综合征 咳嗽 

分 类 号：R56[医药卫生—呼吸系统] R765[医药卫生—内科学]