上气道咳嗽综合征的临床特征及误诊原因  

Clinical features and misdiagnosis of upper airway cough syndrome

作　　者：计明红[1] 潘家华[1] 

机构地区：[1]安徽医科大学附属安徽省立医院儿科,安徽合肥230001

出　　处：《皖南医学院学报》2011年第6期493-495,共3页Journal of Wannan Medical College

摘　　要：目的:探讨上气道咳嗽综合征(UACS)的临床特点以及误诊原因,提高对本病的认识和诊断水平。方法:回顾分析明确诊断UACS的54例患儿临床资料,总结临床特点与既往误诊原因。结果:突出表现为咳嗽,晨起咳,伴鼻部症状,咽后壁滤泡增生、黏液覆盖,婴幼儿潮气呼吸肺功能检查提示上气道病变。误诊最多的诊断是支气管炎,其次为咳嗽变异性哮喘(CVA)。结论:儿科医生对本病认识不足是本组误诊的根本原因,诊断思维局限,一些辅助检查比如肺功能检查重视不够,未及时检查或者检查了但对结果认识不清也是误诊的主要原因。减少误诊的关键在于认识UACS的特点,提高对本病诊断的警惕性。Objective：To explore the clinical characteristics and factors causing misdiagnosis of upper airway cough syndrome（UACS） to improve diagnosis of this disease.Methods：The clinical data were reviewed in 54 children conformed with UACS regarding the clinical features and causative misdiagnosis.Results：Clinically,UACS was characterized by chronic cough,especially early morning cough,with nasal symptoms,the posterior pharyngeal wall follicular hyperplasia and mucus coverings.The lung function test via tidal breathing in infants would reveal the disturbance of upper airways.UACS was frequently misdiagnosed as bronchitis or cough variant asthma（CVA）.Conclusion：Misdiagnosis of this disease may be associated with insufficient knowledge of the pediatricians,failure of auxiliary examination as pulmonary function test or prompt examination and mis-interpretation of the results.Well-recognition of the clinical characteristics of UACS can reduce the incidence of misdiagnosis of this disease.

关 键 词：儿童 上气道咳嗽综合征 诊断 误诊 

分 类 号：R725.6[医药卫生—儿科]