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目的探讨儿童慢性咳嗽与多发性抽动症的关系,提高多发性抽动症的诊断准确率。方法回顾性分析31例以慢性咳嗽为主要表现的多发性抽动症患儿发病情况﹑临床特点﹑诊治结果及随访情况。结果多发性抽动症患儿31例中表现为清嗓14例(45.1%),干咳9例(29.0%),吸鼻5例(16.1%),犬吠样咳嗽3例(9.6%);患儿初期均按呼吸道感染治疗。12例(38.7%)误诊为鼻后滴漏综合征,13例(41.9%)误诊为咳嗽变异型哮喘,4例(13.5%)误诊为变应性咳嗽,2例(6.5%)误诊为胃食管反流。结论发声性抽动是儿童多发性抽动症引起慢性咳嗽常见原因,对常规治疗效果差的慢性咳嗽患儿注意排除多发性抽动症。
Objective To explore the relationship between chronic cough and multiple tic disorder in children and improve the diagnostic accuracy of multiple tic. Methods A retrospective analysis of 31 cases of chronic cough as the main manifestation of children with multiple tic disorder incidence, clinical features, diagnosis and treatment results and follow-up. Results Among the 31 cases of children with STD, 14 cases (45.1%) had throat throat, 9 cases (29.0%) had dry cough, 5 cases (16.1%) sucked nose and 3 cases (9.6% The initial treatment by respiratory tract infection. 12 cases (38.7%) were misdiagnosed as postnasal drip syndrome, 13 (41.9%) were misdiagnosed as cough variant asthma, 4 (13.5%) were misdiagnosed as allergic cough and 2 (6.5% Reflux. Conclusion Eustachmatic twitch is a common cause of chronic cough caused by children with multiple tic disorder. Children with chronic cough who have poor curative effect should be excluded from the treatment of multiple tic.