Zellweger J P
Schweiz Med Wochenschr. 1988 Jun 25;118(25):960-5.
The assessment of cough starts with a search for possible causes, the commonest of which (acute or chronic inflammation of the upper airways, acute bronchial inflammation, smoking, asthma) are usually suggested by history and clinical examination. In chronic cases, where the chest X-ray is normal, the diagnosis must differentiate between ENT inflammation, asthma, post-infectious bronchial hyperresponsiveness and gastroesophageal reflux. Appropriate treatment can be administered solely when the most probable etiology has been determined.
咳嗽评估始于寻找可能的病因,其中最常见的病因(上呼吸道急性或慢性炎症、急性支气管炎、吸烟、哮喘)通常可通过病史和临床检查得出。在慢性病例中,若胸部X光检查正常,诊断必须区分耳鼻喉科炎症、哮喘、感染后支气管高反应性和胃食管反流。只有在确定了最可能的病因后,才能进行适当的治疗。