肺量计、放射学及可弯曲支气管镜检查在评估儿童慢性咳嗽中的作用
Role of Spirometry, Radiology, and Flexible Bronchoscopy in Assessing Chronic Cough in Children.
作者信息
Boonjindasup Wicharn, Thomas Rahul J, Yuen William, McElrea Margaret S
机构信息
Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Department Respiratory and Sleep Medicine, Queensland Children's Hospital, South Brisbane 4101, Australia.
出版信息
J Clin Med. 2024 Sep 25;13(19):5720. doi: 10.3390/jcm13195720.
Chronic cough in children is a common and multifaceted symptom, often requiring a comprehensive approach for accurate diagnosis and effective management. This review explores the use of spirometry, radiology (chest X-rays and computed tomography (CT) scans), and flexible bronchoscopy in the assessment of chronic cough in children through current guidelines and studies. The strengths, clinical indications, and limitations of each modality are examined. Spirometry, radiology, and in some cases flexible bronchoscopy are integral to the assessment of chronic cough in children; however, a tailored approach, leveraging the strengths of each modality and guided by clinical indications, enhances diagnostic accuracy and therapeutic outcomes of pediatric chronic cough.
儿童慢性咳嗽是一种常见且多方面的症状，通常需要采用综合方法进行准确诊断和有效管理。本综述通过当前指南和研究，探讨了肺功能测定、放射学（胸部X线和计算机断层扫描（CT））以及可弯曲支气管镜检查在儿童慢性咳嗽评估中的应用。研究了每种检查方法的优势、临床适应症和局限性。肺功能测定、放射学以及在某些情况下的可弯曲支气管镜检查对于儿童慢性咳嗽的评估至关重要；然而，采用一种量身定制的方法，利用每种检查方法的优势并以临床适应症为指导，可提高儿童慢性咳嗽的诊断准确性和治疗效果。
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