摘要
目的提高对咳嗽变异型哮喘的认识,进一步减少临床上的误诊及误治。方法通过对52例变异性哮喘临床病例进行回顾性分析,寻找误诊原因。结果在确诊之前有38例患者被临床误诊,其中14例误诊为急性支气管炎,15例误诊为上呼吸道感染,5例误诊为慢性支气管炎,4例误诊为感冒后咳嗽。结论嗽变异型哮喘是引起慢性咳嗽的常见原因,熟悉和掌握其发病机制是提高减少误诊的关键,对反复大量应用抗生素无效者,应重点怀疑此病,并早期试用支气管扩张剂和糖皮质激素,有条件者尽可能做肺功能测定及支气管激发/舒张试验,以协助诊断。
Objective Improve awareness of cough variant asthma is helpful to reduce clinical misdiagnosis and mistaken control. Methods Search for the reasons for misdiagnosis by retrospective analysis of 52 examples clinical analysis. Results Before diagnose, there are 38 misdiagnosis. 14 of them are diagnosed for acute bronchitis, 15 of them are diagnosed for upper respiratory tract infection, 5 of them are diagnosed for chronic bronchitis, 4 of them are diagnosed for chronic bronchitis cough after cold. Conclusion Cough variant asthma is the ordinary reason for chronic cough, be familiar with the fpathogenesis and hold it is the key to reduce misdiagnosis, if the antibiotic doesn＇t work, it is most likely cough variant asthma, it is better to use bronchiectasis prescription and glucocorticoid in the early stage. Pulmonary function mensuration and bronchus blaze / relaxation test should be carried out as far as possible to assist consultation.
出处
《医学信息》
2008年第11期2066-2068,共3页
Journal of Medical Information
关键词
咳嗽
变异型哮喘
误诊
Cough
Variation type asthma
Misdiagnosis
