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目的:探讨小儿慢性咳嗽的病因,为正确诊治提供依据。方法:对320例慢性咳嗽小儿的临床资料回顾分析。结果:320例中反复呼吸道感染98例(30.62%),咳嗽变异性哮喘268例(21.25%),鼻炎后滴综合征40例(12.50%),肺炎支原体感染衣原体感染63例(19.69%),胃食管反流40例(12.50%),支气管异物2例(0.63%),肺结核3例(0.93%),嗜酸粒细胞性支气管炎3例(0.93%),精神性咳嗽3例(0.93%)。结论:小儿慢性咳嗽的病因复杂,反复呼吸道感染,肺炎支原体感染衣原体感染、咳嗽变异性哮喘、鼻炎后滴综合征、肺炎支原体感染、胃食管反流是其常见病因。
Objective: To explore the etiology of chronic cough in children and provide evidence for correct diagnosis and treatment. Methods: The clinical data of 320 cases with chronic cough were retrospectively analyzed. Results: There were 98 cases (30.62%) of repeated respiratory infections in 320 cases, 268 cases (21.25%) of cough variant asthma, 40 cases (12.50%) of drip syndrome after rhinitis, 63 cases (19.69%) of mycoplasma pneumonia infection chlamydial infection, Gastroesophageal reflux occurred in 40 cases (12.50%), bronchial foreign body in 2 cases (0.63%), tuberculosis in 3 cases (0.93%), eosinophilic bronchitis in 3 cases ). Conclusions: The cause of chronic cough in children is complicated by recurrent respiratory tract infections, chlamydia pneumoniae infection, cough variant asthma, rhinitis drip syndrome, mycoplasma pneumoniae infection and gastroesophageal reflux disease.