特发性慢性咳嗽：一种真实的疾病还是诊断失误？
Idiopathic chronic cough: a real disease or a failure of diagnosis?
作者信息
McGarvey L P A
机构信息
Department of Medicine, The Queen's University of Belfast, Grosvenor Road, Belfast BT126BJ, N Ireland, UK.
出版信息
Cough. 2005 Sep 23;1:9. doi: 10.1186/1745-9974-1-9.
Abstract
Despite extensive diagnostic evaluation and numerous treatment trials, a number of patients remain troubled by a chronic and uncontrollable cough. Eosinophilic bronchitis, atopic cough and non-acid reflux have been recently added to the diagnostic spectrum for chronic cough. In some cases, failure to consider these conditions may explain treatment failure. However, a subset of patients with persisting symptoms may be regarded as having an idiopathic cough. These individuals are most commonly female, of postmenopausal age and frequently report viral upper respiratory tract infections as an initiating event. This paper seeks to explore the validity of idiopathic cough as a distinct clinical entity.
摘要
尽管进行了广泛的诊断评估和大量的治疗试验，但仍有一些患者受慢性且难以控制的咳嗽困扰。嗜酸性粒细胞性支气管炎、特应性咳嗽和非酸性反流最近已被纳入慢性咳嗽的诊断范围。在某些情况下，未考虑这些病症可能是治疗失败的原因。然而，一部分症状持续的患者可能被视为患有特发性咳嗽。这些个体最常见于绝经后年龄的女性，并且经常报告病毒性上呼吸道感染为起始事件。本文旨在探讨特发性咳嗽作为一种独特临床实体的有效性。
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