摘要
目的分析老年人咳嗽分类与临床特征。方法收集以咳嗽就诊老年科门诊并符合咳嗽诊疗指南的老年患者174例并回顾分析。结果急性咳嗽116例,亚急性咳嗽25例,慢性咳嗽33例。咳嗽病因:感冒咳嗽66.1%,慢性支气管炎10.3%,哮喘4.6%,X线胸片有明确病变3.5%,无明确病变15.5%(诊断不明2.3%)。全部做血常规及胸片检查。选择做CT、支气管镜、食道钡透、肺炎支原体抗体检查及经验性治疗和病因诊断性治疗后确诊率分别为15.2%、3%、33.3%、0、36.4%。结论感冒诱发的急性咳嗽和X胸片无明确病变的慢性咳嗽是老年人咳嗽的主要因素。
Objective Analyzing the classification and clinical characteristics of dderly cough. Methods Collecting the old out-patient treatment for a cough and with cough treatment guidelines of elderly patients of 174 cases, Retrospective analysis. Results 116 cases of acute cough; 25 cases of subacute cough; 33 cases of chronic cough. Cough Causes ： Cold cough 66.1% and 10.3% for chronic bronchitis, asthma was 4.6%. Chest X-ray is dear lesions 3.5%, 15.5% X-ray no dear lesions （2.3% in the diagnosis of idiopathic）. All doing routine blood examination and chest. After chcosing CT, bronchoscopy, esophageal barium meal, mycoplasma pneumoniae antibody test and empirical treatment and diagnostic treatment , diagnosis is 15.2%,3%,33.3%,0,36.4%.Conelusion cold-induced acute cough and chest X-my no dear lesion chronic cough is the main factor in the elderly cough.
出处
《中国现代医生》
2007年第05S期8-10,共3页
China Modern Doctor
关键词
老年人
咳嗽分类
临床特征
Older persons
Cough classification
Clinical features
