Corbelli R, Guinand S, Barazzone Argiroffo C
Unité de pneumologie pédiatrique, Département de l'enfant et de l'adolescent, Hôpital des Enfants, HUG, 1211 Genève 14.
Rev Med Suisse. 2009 Feb 18;5(191):409-10, 412-4.
Chronic cough is a common symptom in childhood and very often the expression of a cold like respiratory tract infection. Chronic cough may follow an acute cough lasting more than 4-8 weeks or may be the primary symptom of an underlying severe respiratory disease. It is important to find out the exact origin of chronic cough to allow accurate investigation steps and treatment. In childhood, adults like diagnostic approach is not appropriate and differential diagnosis must encompass children specific age dependent diagnosis. This article aims to stress a specific paediatric approach in prolonged or chronic cough and emphasizes the role of protracted bacterial bronchitis, a form of airway disease newly described. This entity should be diagnosed and treated adequately to avoid recurrence and development of bronchiectasis.
慢性咳嗽是儿童期的常见症状，通常是类似呼吸道感染的感冒表现。慢性咳嗽可能继发于持续超过4 - 8周的急性咳嗽，也可能是潜在严重呼吸道疾病的主要症状。找出慢性咳嗽的确切病因对于采取准确的检查步骤和治疗至关重要。在儿童期，采用成人式的诊断方法并不合适，鉴别诊断必须涵盖与儿童年龄相关的特定诊断。本文旨在强调针对持续性或慢性咳嗽的特定儿科方法，并强调迁延性细菌性支气管炎（一种新描述的气道疾病形式）的作用。应充分诊断和治疗该疾病实体，以避免复发和支气管扩张的发展。
