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[德国呼吸学会关于成人急、亚急性和慢性咳嗽诊断与治疗的指南]

[Guidelines of the German Respiratory Society for Diagnosis and Treatment of Adults Suffering from Acute, Subacute and Chronic Cough].

作者信息

Kardos P, Dinh Q T, Fuchs K-H, Gillissen A, Klimek L, Koehler M, Sitter H, Worth H

机构信息

Gemeinschaftspraxis & Zentrum für Allergie, Pneumologie, Schlafmedizin an der Klinik Maingau vom Roten Kreuz, Frankfurt am Main.

Klinik für Innere Medizin V - Pneumologie, Allergologie, Beatmungs- und Umweltmedizin, Universitätsklinikum und Medizinische Fakultät des Saarlandes, Homburg/Saar.

出版信息

Pneumologie. 2019 Mar;73(3):143-180. doi: 10.1055/a-0808-7409. Epub 2019 Feb 18.

Abstract

The present 2019 S2k consensus guideline of the German Respiratory Society was written - in contrast to the predecessor more general S3 guidelines from 2004 and 2010 - for pneumologists, since 2014 the German College of General Practitioners and Family Physicians (DEGAM) published his own cough guidelines.The guideline contains 48 recommendations agreed by consensus and 16 statements, which are explained in the background text in the following nine chapters: epidemiology, physiology, classification, acute, subacute or chronic cough, diagnostics and therapy; an extra chapter was dedicated to chronic idiopathic cough. Further emphasis of the guideline is the physiology of cough in anticipation of the introduction of new drugs, as well as detailed treatises on cough triggered by affections in the upper respiratory tract or by gastroesophageal reflux. The guideline should provide the pneumologist with the latest knowledge from neighboring disciplines required for diagnosis and therapy of cough. The clinical chapters also contain a short summary, practical recommendations and a bibliography of their own. Three new, simplified algorithms for acute, subacute and chronic cough round off the Diagnostics chapter.

摘要

德国呼吸学会2019年S2k共识指南与2004年和2010年更具普遍性的前版S3指南不同,是专门为肺病专家编写的。自2014年起,德国全科医生和家庭医生学会(DEGAM)发布了自己的咳嗽指南。该指南包含48条经共识达成的建议和16条声明,在以下九章的背景文本中进行了解释:流行病学、生理学、分类、急性、亚急性或慢性咳嗽、诊断与治疗;另有一章专门论述慢性特发性咳嗽。该指南的另一个重点是在预期引入新药的情况下对咳嗽生理学的阐述,以及对上呼吸道疾病或胃食管反流引发咳嗽的详细论述。该指南应为肺病专家提供咳嗽诊断和治疗所需的相邻学科的最新知识。临床章节还包含简短总结、实用建议及其自身的参考文献。诊断章节最后给出了针对急性、亚急性和慢性咳嗽的三种新的简化算法。

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