以慢性咳嗽为主诉的儿童慢性鼻-鼻窦炎的治疗  

Treatment on chronic rhinosinusitis in children with main complaint of chronic cough

作　　者：黄文坚[1] 尤雅丽 

机构地区：[1]石狮市医院眼耳鼻咽喉科,福建石狮362700

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第21期993-994,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨儿童慢性咳嗽的病因及按慢性鼻-鼻窦炎(CRS)治疗后慢性咳嗽的转归。方法:对在儿科诊断为慢性咳嗽且治疗效果不佳后转至耳鼻咽喉科的CRS患儿进行治疗。结果:56例患儿经CT扫描和(或)鼻内镜检查后确诊为CRS,第一主诉均为咳嗽,其中伴鼻塞、流涕35例(62.5%),伴打鼾及张口呼吸15例(26.8%),伴鼻涕倒流或咳痰6例(10.7%);体检发现有鼻腔及咽后壁黏脓性分泌物45例(80.4%),伴鼻息肉5例(8.9%),伴腺样体肥大21例(37.5%),同时伴鼻息肉及腺样体肥大4例(7.1%),伴变应性鼻炎19例(33.9%)。经CRS综合治疗(15例腺样体切除术及4例腺样体、鼻息肉同时手术)后咳嗽治愈45例(80.4%),缓解9例(16.1%),无效2例(3.6%)。结论:综合治疗CRS能治愈或缓解慢性咳嗽。To explore the causes of chronic cough in children and its outcome after treatment of chronic rhinosinusitis（CRS）. Method： Fifty-six cases of children who were previously diagnosed as chronic cough by pediatrician with poor treatment outcomes, were made a definite diagnosis of CRS and then treated by otolaryngologist. Result： Fifty-six cases of children were made a definite diagnosis of CRS according to CT and/or nasal endoscopy examination. The cardinal symptom was cough in all cases, in which 35 cases（62.5 %） with nasal congestion and rhinorrhea, 15 cases（26.8%） with snoring and mouth breathing, 6 cases（10.7%） with postnasal drip and expectoration. Among all the patients, stick purulent secretion in nasal cavity and posterior pharyngeal wall was found in 45 cases（80.4%）, nasal polyps in 5 cases（8.9%）, adenoidal hypertrophy in 21 cases（37.5%）, nasal polyps and adenoidal hypertrophy in 4 cases（7.1%）, allergic rhinitis in 19 eases（33.9%）. After the combined treatment of CRS, 45 cases（80.4%） were cured, 9 cases（16.1%） relieved and 2 cases（3.6%） ineffective. Conelusion：Chronic cough is the commonly cardinal symptom of CRS in children and it can be cured or relieved by combined treatment of CRS.

关 键 词：慢性咳嗽 慢性鼻-鼻窦炎 综合治疗 

分 类 号：R765[医药卫生—耳鼻咽喉科]