摘要
儿童慢性咳嗽病因复杂,可涉及呼吸系统以外的多系统或多病因并存的疾病,缺乏特征性的临床征象。临床医师无论在初诊还是随访中,均应建立正确的诊断与鉴别诊断思路,鉴别特异性咳嗽与非特异性咳嗽,从病史中寻找慢性咳嗽常见病因的线索,从痰液性质区分感染或非感染的慢性咳嗽,综合评价无创气道炎症检查的临床意义,有新病因征象者应及时修正诊断。
The cause of chronic cough in children is compli- cated, which is related to respiratory system and multisystem, and also involves many causes. For lack of characteristic clini- cal manifestations, pediatricians shouht set up correct clinical pathway in diagnosis and differential diagnosis during the first visit or follow-up. Pediatricians should pay attention to distinguishing between the specific eough and non-specific couglt. Then, a carefill clinical histury shouhl provide the important signals in the diagnostic clues. The ini;ectious and non-infectious chronic cough could be distinguished by the sputum features. The elinical significances in non-invasive airway information tests should be analyzed systematically. When the new features are found, we should correct the diagnosis of chronic cough in time.
出处
《中国实用儿科杂志》
CSCD
北大核心
2016年第3期168-172,共5页
Chinese Journal of Practical Pediatrics
关键词
慢性咳嗽
病因学
诊断与鉴别诊断
儿童
chronic cough
etiology
diagnosis and differential diagnosis
ehild
