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咳嗽:鉴别诊断与治疗

Cough: differential diagnosis and treatment.

作者信息

Braman S S, Corrao W M

出版信息

Clin Chest Med. 1987 Jun;8(2):177-88.

PMID:3304810
Abstract

Cough is a complex physiologic event that protects the lungs from mechanical, chemical, and thermal injury. It is a normal reflex and therefore helps humans to adapt to an ever-changing environment. Cough can also be a pathologic reflex in that it may be an important and often the only sign of serious disease, may significantly contribute to the spread of airborne infection, and in some instances, may result in severe functional or structural damage to the organism. This article focuses on the pathophysiology of the afferent limb of the cough reflex, including a discussion of the causes, the diagnostic workup, and the treatment of cough.

摘要

咳嗽是一种复杂的生理活动,可保护肺部免受机械性、化学性和热性损伤。它是一种正常反射,有助于人类适应不断变化的环境。咳嗽也可能是一种病理反射,因为它可能是严重疾病的重要且往往是唯一的症状,可能会显著促进空气传播感染的扩散,并且在某些情况下,可能会对机体造成严重的功能或结构损伤。本文重点关注咳嗽反射传入支的病理生理学,包括对咳嗽的病因、诊断检查及治疗的讨论。

相似文献

1
Cough: differential diagnosis and treatment.咳嗽:鉴别诊断与治疗
Clin Chest Med. 1987 Jun;8(2):177-88.
2
A coughing child: could it be asthma?咳嗽的孩子:会是哮喘吗?
Aust Fam Physician. 2004 May;33(5):312-5.
3
The diagnosis and treatment of cough.
N Engl J Med. 2001 Apr 5;344(14):1097; author reply 1098.
4
Chronic cough. Diagnosis and treatment.慢性咳嗽。诊断与治疗。
Prim Care. 1985 Jun;12(2):217-25.
5
Differential diagnosis of cough: focus on lung malignancy.咳嗽的鉴别诊断:聚焦于肺部恶性肿瘤。
Lippincotts Prim Care Pract. 2000 Jul-Aug;4(4):374-89.
6
Chronic cough in children.儿童慢性咳嗽
Can Fam Physician. 1994 Mar;40:531-7.
7
Diagnosis and prognosis of lower respiratory tract infections: a cough is not enough.下呼吸道感染的诊断与预后:咳嗽并不足以说明问题。
Br J Gen Pract. 2001 Mar;51(464):174-5.
8
The child with persistent cough.患有持续性咳嗽的儿童。
Del Med J. 2001 Apr;73(4):149-56.
9
[Cough during the middle of the night--an early symptom of bronchial asthma?].[夜间咳嗽——支气管哮喘的早期症状?]
Z Gesamte Inn Med. 1989 Jun 15;44(12):365-6.
10
[The clinico-diagnostic significance of qualitative cough indices in nonspecific lung diseases].
Ter Arkh. 1993;65(4):60-5.

引用本文的文献

1
A child with a foreign body in bronchus misdiagnosed as asthma.一名支气管有异物的儿童被误诊为哮喘。
Clin Case Rep. 2020 Jul 21;8(12):2409-2413. doi: 10.1002/ccr3.3153. eCollection 2020 Dec.
2
The use of multiscale systems biology approaches to facilitate understanding of complex control systems for airway protection.利用多尺度系统生物学方法促进对气道保护复杂控制系统的理解。
Curr Opin Pharmacol. 2011 Jun;11(3):272-7. doi: 10.1016/j.coph.2011.06.002. Epub 2011 Jul 1.
3
TRPV1 antagonists as potential antitussive agents.瞬时受体电位香草酸亚型1拮抗剂作为潜在的镇咳剂。
Lung. 2008;186 Suppl 1:S59-65. doi: 10.1007/s00408-007-9032-z. Epub 2007 Oct 10.
4
TRPV1 antagonists attenuate antigen-provoked cough in ovalbumin sensitized guinea pigs.瞬时受体电位香草酸亚型1拮抗剂可减轻卵清蛋白致敏豚鼠的抗原诱发咳嗽。
Cough. 2006 Dec 15;2:10. doi: 10.1186/1745-9974-2-10.
5
Participation of thromboxane A(2) in the cough response in guinea-pigs: antitussive effect of ozagrel.血栓素A₂在豚鼠咳嗽反应中的作用:奥扎格雷的镇咳作用
Br J Pharmacol. 2000 Sep;131(2):266-70. doi: 10.1038/sj.bjp.0703553.
6
Antitussive effects of GABAB agonists in the cat and guinea-pig.γ-氨基丁酸B型受体激动剂对猫和豚鼠的镇咳作用。
Br J Pharmacol. 1993 Sep;110(1):491-5. doi: 10.1111/j.1476-5381.1993.tb13837.x.
7
Aspiration and the elderly.误吸与老年人
Dysphagia. 1990;5(2):61-71. doi: 10.1007/BF02412646.