Zervanos N J, Shute K M
Lancaster General Hospital, Pennsylvania.
Postgrad Med. 1994 Mar;95(4):153-4, 157-60, 163-4 passim.
Acute, disruptive cough should be viewed as a physiologic response to an intruder or irritant to the respiratory system and not as an isolated pathologic problem. Evaluation should include thorough history taking and physical examination supplemented by limited diagnostic tests. Once the cause is established, specific therapy can be implemented. If cough persists for days to weeks and is disruptive, symptomatic cough therapy should be instituted on the basis of the mechanisms of action of the available agents. Further controlled studies in the primary care setting are needed.
急性、发作性咳嗽应被视为呼吸系统对入侵者或刺激物的生理反应，而不应被视为孤立的病理问题。评估应包括全面的病史采集和体格检查，并辅以有限的诊断测试。一旦确定病因，即可实施特定治疗。如果咳嗽持续数天至数周且具有破坏性，则应根据现有药物的作用机制进行对症咳嗽治疗。在初级保健环境中还需要进一步的对照研究。
