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目的探讨儿童慢性咳嗽病因及其分类方法。方法对2006年1月至2008年3月新乡医学院第二附属医院及新乡市第二人民医院收治的52例慢性咳嗽患儿的临床特点进行回顾,分析引起慢性咳嗽的病因疾病,并对诊断程序进行总结。结果52例患儿病因疾病分别为呼吸道感染与感染后咳嗽16例(30.8%)、上气道咳嗽综合征(UACS)14例(26.9%)、咳嗽变异性哮喘(CVA)10例(19.2%)、特异性咳嗽4例(7.7%)、胃食管反流性咳嗽(GERC)2例(3.8%)、嗜酸粒细胞性支气管炎(EB)2例(3.8%)、心因性2例(3.8%)、先天性呼吸道疾病1例(1.9%)和其他1例(1.9%)。其中呼吸道感染与感染后咳嗽、UACS、CVA为引起儿童慢性咳嗽的主要病因。结论应强调对慢性咳嗽病因疾病的诊断及治疗,程序式诊断对儿童慢性咳嗽病因疾病的诊断具有较强的可操作性。
Objective To investigate the etiology and classification of chronic cough in children. Methods The clinical features of 52 children with chronic cough admitted to the Second Affiliated Hospital of Xinxiang Medical College and the Second People’s Hospital of Xinxiang City from January 2006 to March 2008 were retrospectively analyzed and the etiological and etiological diseases causing chronic cough were analyzed. The procedure is summarized. Results Sixty-two cases (30.8%) of respiratory tract infection and post-infection cough, 14 cases (26.9%) of upper respiratory tract cough syndrome (UACS) and 10 cases (19.2%) of cough variant asthma ), 4 cases (7.7%) of specific cough, 2 cases (3.8%) of gastroesophageal reflux cough (GERC), 2 cases of eosinophilic bronchitis (EB) (3.8%), 1 case of congenital respiratory disease (1.9%) and 1 case (1.9%) of other cases. Among them, respiratory infection and post-infection cough, UACS and CVA are the main causes of chronic cough in children. Conclusion The diagnosis and treatment of chronic cough etiology and disease should be emphasized. Programmed diagnosis has strong maneuverability for the diagnosis of chronic cough etiology and disease in children.