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目的:探讨小儿咳嗽变异性哮喘的误诊原因。方法:对附一医院1996年7月~1998年7月间误诊的44例小儿咳嗽变异性哮喘(CTA)则进行临床分析。结果:小儿咳嗽变异性哮喘因缺乏特异的临床体征,易与复发上感、支气管炎、百日咳、间质性肺炎、肺门淋巴结核相混淆,严重影响了CVA的治疗。结论:加强对CVA疾病的普及教育,提高认识,对慢性咳嗽病儿无肺部阳性体征,病程未满一月,排除其他疾病者按疑诊CVA给予规则治疗,建立随访制度。
Objective: To investigate the causes of misdiagnosis of pediatric cough variant asthma. Methods: A total of 44 children with cough variant asthma (CTA) misdiagnosed from January 1996 to July 1998 were enrolled in this study. Results: Children with cough variant asthma because of the lack of specific clinical signs, and susceptible to recurrent flu, bronchitis, pertussis, interstitial pneumonia, hilar lymphoid tuberculosis confused seriously affected the treatment of CVA. Conclusion: To improve the general education of CVA disease, improve cognition, and have no pulmonary positive signs in children with chronic cough. The course of disease is less than one month. Patients with other diseases should be given regular treatment according to the suspected CVA and a follow-up system should be established.