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目的 :探讨慢性咳嗽的临床诊治 ,减少误诊、误治。方法 :回顾性分析我科从 1998～ 2 0 0 3年收治的 3 5例鼻、咽部疾病所致慢性咳嗽病例 ,根据不同病因及疾病的不同阶段 ,采用不同的治疗方法。结果 :3 5例病人确诊病因并针对病因治疗后 ,慢性咳嗽治愈率 94 3 %,有效率 10 0 %。结论 :鼻、咽部疾病分泌物下流是慢性咳嗽的重要原因之一 ,临床医师除掌握肺、胸部疾病所致咳嗽外 ,还要鉴别咳嗽变异性哮喘 ,鼻、咽部疾病分泌物下流及胃食管返流所致咳嗽。
Objective: To investigate the clinical diagnosis and treatment of chronic cough, reduce misdiagnosis and misdiagnosis. Methods: A retrospective analysis of 35 cases of chronic cough caused by nasal and pharyngeal diseases admitted to our department from 1998 to 2003 was conducted according to different etiologies and stages of disease. Different treatment methods were used. Results: The cure rate of chronic cough was 94.3% and the effective rate was 100% after the diagnosis of etiology and treatment of 35 cases. Conclusion: Downstream of nasal and pharyngeal secretions is one of the most important causes of chronic cough. Clinicians not only know cough due to lung and chest diseases, but also identify cough variant asthma, nasal and pharyngeal secretions and stomach Cough caused by esophageal reflux.