儿童上气道咳嗽综合征48例临床分析

    Clinical study of upper airway cough syndrome in 48 cases

    • 摘要: 目的:总结上气道咳嗽综合征(upper airway cough syndrome,UACS)引起儿童慢性咳嗽的临床特点,提高对该病的认识。方法:确诊后采用抗炎、抗变态反应、局部使用减充血剂、抗感染等系统治疗。结果:48例UACS患儿中误诊26例,误诊率54.17%。42例患儿在2周内症状明显减轻或消失,治疗有效率87.50%。结论:UACS均以慢性咳嗽为主诉,伴随症状复杂,易被误诊误治。详细询问病史、合理检查、专科会诊有助于明确诊断。给予针对性治疗,绝大部分疗效好。

       

      Abstract: Objective:To summarize the clinical characteristics of chronic cough in children caused by upper airway cough syndrome (UACS). Methods:Forty-eight children diagnosed with UACS were given systematic treatment such as anti-inflammation,anti-allergy, anti-infection decongestants and so on,and the clinical data were collected and analyzed. Results:There were 26 misdiagnosed cases among the 48 cases. The misdiagnositic rate was 54.17%. After two-week reasonable and targeted treatment,the symptoms and signs in 42 cases were obviously relieved or disappeared. The effective rate was 87.50%. Conclusions:Chronic cough is the chief complaint of UACS associated with other complex symptoms,so it is easy to be misdiagnosed and mistreated. All the children with upper airway cough syndrome can be diagnosed through its detail history of disease,reasonable physical examination and specialist consultation. The targeted therapy can give satisfied effect to upper airway cough syndrome.

       

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