Brashers V L, Haden K
School of Nursing, University of Virginia Health System, Charlottesville, Virginia, USA.
Lippincotts Prim Care Pract. 2000 Jul-Aug;4(4):374-89.
Evaluating cough in the primary care setting can be very difficult and requires a thorough look through a long list of potential differential diagnoses. The most worrisome diagnosis is that of a lung malignancy. Primary care providers must assess each patient carefully in a logical, precise manner to determine a working diagnosis for acute versus chronic cough in smokers and nonsmokers. Early detection leads to a diagnosis of lung cancer at earlier stages and may offer the only possibility of cure. This article provides primary care providers with an overview of the most common causes of cough, an algorithm to assist with the diagnosis, and a brief overview of the staging, diagnostic workup, treatment, and management of lung cancer.
在基层医疗环境中评估咳嗽可能非常困难，需要全面审视一长串潜在的鉴别诊断。最令人担忧的诊断是肺部恶性肿瘤。基层医疗服务提供者必须以合乎逻辑、精确的方式仔细评估每位患者，以确定吸烟者和非吸烟者急性咳嗽与慢性咳嗽的初步诊断。早期检测可在肺癌的更早阶段做出诊断，并可能提供唯一的治愈可能性。本文为基层医疗服务提供者提供了咳嗽最常见原因的概述、有助于诊断的算法，以及肺癌分期、诊断检查、治疗和管理的简要概述。
