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目的:探讨儿童咳嗽变异型哮喘(CVA)误诊原因。方法:回顾分析2005-12/2008-12误诊的62例儿童CVA。结果:62例误诊为反复呼吸道感染25例(40.3%),支气管炎12例(19.4%),支原体肺炎9例(14.5%),慢性咽炎14例(22.6%),鼻窦炎2例(3.2%)。误诊时间最短35 d,最长10个月。治疗后,咳嗽在3~5 d基本消失35例,6~10 d基本消失15例,11~14 d基本消失12例。结论:儿童CVA临床表现特殊、误诊率高,提高临床医生对CVA的认识是达到正确诊断关键。
Objective: To investigate the causes of misdiagnosis of children with cough variant asthma (CVA). Methods: 62 children with CVA misdiagnosed from 2005-12 / 2008-12 were retrospectively analyzed. Results: 62 cases were misdiagnosed as recurrent respiratory tract infection in 25 cases (40.3%), bronchitis in 12 cases (19.4%), mycoplasma pneumonia in 9 cases (14.5%), chronic pharyngitis in 14 cases ). Misdiagnosis time minimum 35 d, up to 10 months. After treatment, 35 cases basically disappeared in 3 ~ 5 days, disappeared in 6 ~ 10 days, and disappeared in 11 ~ 14 days in 12 cases. Conclusion: The clinical manifestations of children with CVA special, high misdiagnosis rate, to improve clinicians understanding of CVA is the key to correct diagnosis.