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[儿童慢性咳嗽的定义及疾病分类学方面]

[Definition and nosological aspects of chronic cough in children].

作者信息

Brémont F

机构信息

Unité de pneumologie-allergologie, hôpital des Enfants, 330, avenue de Grande-Bretagne, BP 3119, 31026 Toulouse, France.

出版信息

Arch Pediatr. 2001 Aug;8 Suppl 3:597-599. doi: 10.1016/s0929-693x(01)80013-0.

Abstract

Cough is a physiological reflex occurring when sensitive receptors located in upper airways and the larynx are activated. By definition a 'chronic cough' lasts at least 3 weeks. An analysis of clinical characteristics is essential for setting up the diagnosis and giving correct treatment. We can individualize three mainly clinical aspects: the young child of less than 3 years of age, the nocturnal cough and the productive cough. The 'variant of asthma' cough is a common problem among all ages that frequently goes unrecognized. Any patient with dry nocturnal coughing that lasts more than three weeks should have an empiric bronchodilator treatment. The prognosis is on the whole favourable.

摘要

咳嗽是一种生理反射,当上呼吸道和喉部的敏感感受器被激活时就会发生。根据定义,“慢性咳嗽”持续至少3周。分析临床特征对于确立诊断和给予正确治疗至关重要。我们可以将三个主要临床方面个体化:3岁以下幼儿、夜间咳嗽和咳痰性咳嗽。“咳嗽变异性哮喘”在各年龄段都是一个常见问题,常常未被认识到。任何夜间干咳持续超过三周的患者都应接受经验性支气管扩张剂治疗。总体预后良好。

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