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目的:讨论小儿咳嗽变异性哮喘误诊的原因,为日后的临床诊断提供参考。方法:选择2013年2月-2014年2月收治的咳嗽变异性哮喘患儿120例为研究对象,分析误诊的原因,并且按照支气管哮喘规范的治疗。结果:经过临床分析,在120例咳嗽变异性哮喘患儿中,支气管炎患儿共计36例(30.0%),上呼吸道感染患儿共计24例(20.0%),扁桃体炎患儿共计15例(12.5%),支原体肺炎患儿共计8例(6.7%),百日咳、原发性肺结核患儿共计3例(2.5%)。所有患儿在应用支气管哮喘规范的治疗措施后,均在8周以内止咳。结论:导致咳嗽变异性哮喘误诊的原因是比较多样的,医生在诊断患儿的过程中,应对患儿的病史进行详细的了解,同时要掌握好咳嗽变异性哮喘的临床表现和具体的诊断要点,要在最大的限度上,避免误诊的发生,给予患儿最需要的治疗。
Objective: To discuss the causes of misdiagnosis of pediatric cough variant asthma and to provide reference for future clinical diagnosis. Methods: A total of 120 children with cough variant asthma who were admitted from February 2013 to February 2014 were selected as the research object. The causes of the misdiagnosis were analyzed and the patients were treated according to the standard of bronchial asthma. Results: Of the 120 children with cough variant asthma, 36 (30.0%) were children with bronchitis, 24 (20.0%) were children with upper respiratory tract infection, and 15 were children with tonsillitis 12.5%), mycoplasma pneumonia in children a total of 8 cases (6.7%), whooping cough, primary tuberculosis in a total of 3 cases (2.5%). All children in the application of bronchial asthma norms of treatment, are within eight weeks of cough. Conclusions: The causes of misdiagnosis of cough variant asthma are quite diverse. During the diagnosis of children, the doctor should make a detailed understanding of the history of children and master the clinical manifestations and specific diagnosis points of cough variant asthma , To the maximum extent, to avoid the occurrence of misdiagnosis, to give children the most needed treatment.