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临床咳嗽及其机制。

Clinical cough and its mechanisms.

作者信息

McGarvey L P A, Morice A H

机构信息

Department of Medicine, The Queen's University of Belfast, Grosvenor Road, Belfast BT12 6BJ, N Ireland, UK.

出版信息

Respir Physiol Neurobiol. 2006 Jul 28;152(3):363-71. doi: 10.1016/j.resp.2005.11.011. Epub 2006 Jan 10.

DOI:10.1016/j.resp.2005.11.011
PMID:16406741
Abstract

Cough is the commonest symptom of clinical importance and the most frequent reason for new consultations with a doctor. Although therapy directed at any underlying cause for cough can be effective there is a clinical need for new treatments specifically directed at the cough itself. A major obstacle to the development of such therapy has been an imprecise understanding of the pathophysiological mechanisms responsible for cough. In this article, we review the important clinical aspects of both acute and chronic cough, offer practical insight into the existing treatment options, highlight the current understanding of cough pathophysiology and identify important areas for future research effort.

摘要

咳嗽是具有临床重要性的最常见症状,也是患者新就诊的最常见原因。尽管针对咳嗽任何潜在病因的治疗可能有效,但临床上仍需要专门针对咳嗽本身的新治疗方法。开发此类治疗方法的一个主要障碍是对引起咳嗽的病理生理机制理解不精确。在本文中,我们回顾了急性和慢性咳嗽的重要临床方面,对现有治疗选择提供实用见解,强调目前对咳嗽病理生理学的理解,并确定未来研究工作的重要领域。

相似文献

1
Clinical cough and its mechanisms.临床咳嗽及其机制。
Respir Physiol Neurobiol. 2006 Jul 28;152(3):363-71. doi: 10.1016/j.resp.2005.11.011. Epub 2006 Jan 10.
2
Clinical cough II: therapeutic treatments and management of chronic cough.临床咳嗽II:慢性咳嗽的治疗与管理
Handb Exp Pharmacol. 2009(187):277-95. doi: 10.1007/978-3-540-79842-2_14.
3
The pharmacology of cough.咳嗽的药理学
Trends Pharmacol Sci. 2004 Nov;25(11):569-76. doi: 10.1016/j.tips.2004.09.009.
4
Common causes and current guidelines.常见病因与现行指南。
Chron Respir Dis. 2007;4(4):215-23. doi: 10.1177/1479972307084447.
5
Clinical cough VI: the need for new therapies for cough: disease-specific and symptom-related antitussives.临床咳嗽VI:咳嗽新疗法的需求:针对特定疾病和症状的镇咳药
Handb Exp Pharmacol. 2009(187):343-68. doi: 10.1007/978-3-540-79842-2_18.
6
Future directions in treating cough.治疗咳嗽的未来方向。
Otolaryngol Clin North Am. 2010 Feb;43(1):199-211, xii. doi: 10.1016/j.otc.2009.11.011.
7
[Child with chronic cough].[患有慢性咳嗽的儿童]
Bol Med Hosp Infant Mex. 1981 Mar-Apr;38(2):393-8.
8
[Pharmacotherapy of cough].[咳嗽的药物治疗]
Schweiz Med Wochenschr. 1988 Jul 23;118(29):1067-72.
9
Chronic cough: future directions in chronic cough: mechanisms and antitussives.慢性咳嗽:慢性咳嗽的未来方向:机制与镇咳药。
Chron Respir Dis. 2007;4(3):159-65. doi: 10.1177/1479972307077894.
10
[The German Respiratory Society's Guideline for the Diagnosis and Treatment of Patients with Acute and Chronic Cough].[德国呼吸学会急性和慢性咳嗽患者诊断与治疗指南]
Med Klin (Munich). 2004 Aug 15;99(8):468-75. doi: 10.1007/s00063-004-1071-0.

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2
Pathophysiology of Clinical Symptoms in Acute Viral Respiratory Tract Infections.急性病毒性呼吸道感染临床症状的病理生理学
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Effect of taste sensation on cough reflex sensitivity.味觉感知对咳嗽反射敏感性的影响。
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Peripheral mechanisms II: the pharmacology of peripherally active antitussive drugs.外周机制II:外周活性镇咳药的药理学
Handb Exp Pharmacol. 2009;187(187):155-86. doi: 10.1007/978-3-540-79842-2_8.
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Cough, pain and dyspnoea: similarities and differences.咳嗽、疼痛与呼吸困难:异同之处
Pulm Pharmacol Ther. 2007;20(4):433-7. doi: 10.1016/j.pupt.2006.12.005. Epub 2007 Jan 10.