[儿童慢性咳嗽病因的纤维支气管镜检查诊断]

[Etiologic identification of chronic cough by bronchofibroscopy in children].

作者信息

Yu Yi, Wang Ying-Shuo, Chen Zhi-Min

机构信息

Department of Respiratory Medicine, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2008 Jun;10(3):319-21.

PMID:18554458

Abstract

OBJECTIVE

To study the value of bronchofibroscopy in the etiologic identification of chronic cough in children.

METHODS

Under local anesthesia of lidocaine, bronchofibroscopy was performed in 118 children with chronic cough of unknown origin (73 males and 45 females). Their ages ranged from 3 months to 13 years.

RESULTS

The cause of chronic cough was identified in 115 cases. The most common cause was respiratory infection (n=39),followed by bronchial foreign bodies (n=19), upper airway cough syndrome (n=17), bronchial asthma or cough variant asthma (n=17), bronchomalacia (n=7), bronchial congenital malformation (n=5), primary ciliary dyskinesia (n=3), gastro-esophageal reflux (n=3), bronchial tumor (n=2), bronchial tuberculosis (n=1), pulmonary fibrosis (n=1) and idiopathic pulmonary hemosiderosis (n=1).

CONCLUSIONS

Bronchofibroscopy is useful in the etiologic identification of chronic cough in children.

摘要

目的

探讨纤维支气管镜检查在儿童慢性咳嗽病因诊断中的价值。

方法

对118例病因不明的慢性咳嗽患儿（男73例，女45例）在利多卡因局部麻醉下行纤维支气管镜检查，年龄3个月至13岁。

结果

115例明确了慢性咳嗽病因。最常见病因是呼吸道感染（39例），其次是支气管异物（19例）、上气道咳嗽综合征（17例）、支气管哮喘或咳嗽变异性哮喘（17例）、支气管软化症（7例）、支气管先天性畸形（5例）、原发性纤毛运动障碍（3例）、胃食管反流（3例）、支气管肿瘤（2例）、支气管结核（1例）、肺纤维化（1例）和特发性肺含铁血黄素沉着症（1例）。