67例慢性咳嗽病因分析  

Analysis of causes of 67 chronic cough cases

作　　者：艾河辉[1] 贾杰[2] 陶春平[2] 

机构地区：[1]珠海市人民医院,广东珠海519000 [2]海南省人民医院,海南海口570311

出　　处：《中国热带医学》2004年第1期91-92,共2页China Tropical Medicine

摘　　要：目的　探讨 67例慢性咳嗽患者的病因。　方法　按照慢性咳嗽解剖学诊断程序 ,详细询问持续咳嗽 4周以上的患者的现病史及既往史 ,仔细作体格检查和胸部和鼻窦X线检查。　结果　 67例慢性咳嗽患者中 ,鼻后滴漏综合征 3 1例 ( 4 6 2 7% ) ,变异性哮喘 13例 ( 19 40 % ) ,胃食道反流综合征 5例 ( 7 46% ) ,鼻后滴漏综合征 +变异性哮喘6例 ( 8 96% ) ,慢性支气管炎 5例 ( 7 46% ) ,支气管扩张 4例 ( 5 97% ) ,鼻窦骨瘤、囊肿各 1例 ( 2 99% ) ,原因不明 1例( 1 49% )。　结论　慢性咳嗽由多种病因引起 ,通过解剖学诊断程序基本可以明确诊断 ,治疗可获得满意的效果。Objective To discuss the cause of chronic cough in 67 cases. Methods The patients with present and past cough histories of over 4 weeks were based on the anatomically diagnostic procedures for chronic cough interviewed and chest and X-ray examination of chest and sinus of nose were also performed. Results Of the 67 cases,31(46.2%) were shown to be with postnasal drip syndrome (PNDS),asthma occurred in 13 cases(19.40%),5 cases(7.46%) with gastroesophageal reflux(GER),6 cases(8.96%) were found to be with PDDS+astma,chronic bronchitis occurred in 5 cases(7.46%),bronchiectasis occurred in 4 cases(5.97%),osteoma,cyst of nasal sinus and unknown cause each were observed in one case,respectively(3.39%). Conclusion Chronic cough may occur due to a multiple causes and the patients can be diagnosed by anatomical diagnostic procedures for chronic cough and cured.

关 键 词：慢性咳嗽 病因 胃食道反流综合征 鼻后滴漏综合征 变异性哮喘 

分 类 号：R441.5[医药卫生—诊断学]