Department of Pediatrics, Virginia Commonwealth University School of Medicine, 1001 East Marshall Street, P.O. Box 980646, Richmond, VA 23298, USA.
Lung. 2010 Jan;188 Suppl 1:S69-72. doi: 10.1007/s00408-009-9198-7.
Cough is a defense mechanism for promoting airway hygiene when mucociliary clearance is ineffective due to increased mucus secretion, inflammation, infection, or ciliary dysfunction. Secretions can contribute to airflow limitation and chronic hypersecretion can worsen airway inflammation with retained inflammatory cells and mediators. The focus of the Second Annual Cough Conference has been on cough as a troublesome symptom; but to understand the importance and effectiveness of cough clearance, it is critical to understand airway secretions. The biophysical properties of mucus and phlegm determine how readily these secretions can be cleared by coughing.
咳嗽是一种防御机制,当由于黏液分泌增加、炎症、感染或纤毛功能障碍导致黏液纤毛清除无效时,可促进气道清洁。分泌物可导致气流受限,慢性过度分泌可使气道炎症加重,导致炎症细胞和介质滞留。第二届咳嗽会议的重点是咳嗽作为一种令人困扰的症状;但要了解咳嗽清除的重要性和效果,了解气道分泌物至关重要。黏液和痰的物理特性决定了这些分泌物通过咳嗽清除的难易程度。