上呼吸道内镜检查在慢性咳嗽诊断和治疗中的意义

山东大学耳鼻喉眼学报

上呼吸道内镜检查在慢性咳嗽诊断和治疗中的意义

薛令军¹，孙文海²，李大建¹，刘新义¹，张恩东¹，刘艳¹，孙彩波¹

1. 青岛大学附属威海医院耳鼻咽喉-头颈外科，山东威海 264200；2. 青岛大学医学院附属医院耳鼻咽喉-头颈外科，山东青岛 266023

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-06-24 发布日期:2007-06-24
通讯作者: 薛令军

Upper respiratory tract endoscopy in the diagnosis and treatment of chronic cough

XUE Ling-jun¹, SUN Wen-hai², LI Da-jian¹, LIU Xin-yi¹, ZHANG En-dong¹, LIU Yan¹, SUN Cai-bo¹

Department of Otorhinolaryngology & Head and Neck Surgery, 1. Affiliated Weihai Hospital, Medical College of Qingdao University, Weihai 264200; 2. Affiliated Hospital of Medical College of Qingdao University, Qingdao 266023

Received:1900-01-01 Revised:1900-01-01 Online:2007-06-24 Published:2007-06-24
Contact: XUE Ling-jun

摘要/Abstract

摘要： 目的：探讨上呼吸道内镜检查在慢性咳嗽诊断和治疗中的临床意义。方法：选取120例慢性咳嗽患者，通过采集病史、上呼吸道内镜检查及相关辅助检查进行病因分析，并针对病因进行治疗。结果：鼻后滴漏综合征47例，嗜酸细胞性支气管炎及咳嗽变异型哮喘32例，胃食管反流性咳嗽35例，癔病性病因2例，原因不明4例。98例患者3～7d内咳嗽明显好转，106例2周内自觉咳嗽明显好转，106例患者于咳嗽消失1周后停药，14例转入儿科及心理科。结论：慢性咳嗽病因复杂，应综合分析后治疗，常见病因有鼻后滴漏综合征、胃食管反流病及咳嗽变异型哮喘等，上呼吸道内镜检查可观察上呼吸道细微病变，有助于及时明确病因。

关键词: 咳嗽, 内窥镜术, 诊断, 呼吸系统

Abstract: Objective: To investigate the etiological factors of chronic cough and the effect of endoscopic examination of the upper respiratory tract. Method: Endoscopic examination of the upper respiratory tract and the assistance inspection were performed on 120 cases of chronic cough to explore the etiology. Results: In the 120 cases, posterior nasal drip syndrome was found in 47 cases, acidophile bronchitis and cough variability asthma in 32 cases, gastroesophageal reflux diseases in 35 cases, hysteria in 2 cases and unknown cause in 4 cases. After treatment, 98 cases were greatly improved in 3-7days, 106 patients felt obviously improved in 2 weeks, and 106 cases stopped taking medicine 1 week after the symptoms vanished. The other 14 cases were transferred to departments of paediatrics or psychology. Conclusion: Chronic cough is caused by many factors. Endoscopic examination is helpful in observing the slight pathological changes of the upper respiratory tract.

Key words: Cough, Endoscopy, Diagnosis, Respiratory system

中图分类号:

R256.11

薛令军,孙文海,李大建,刘新义,张恩东,刘艳,孙彩波 . 上呼吸道内镜检查在慢性咳嗽诊断和治疗中的意义[J]. 山东大学耳鼻喉眼学报, 2007, 21(3): 224-226 .

XUE Ling-jun,SUN Wen-hai,LI Da-jian,LIU Xin-yi,ZHANG En-dong,LIU Yan,SUN Cai-bo . Upper respiratory tract endoscopy in the diagnosis and treatment of chronic cough[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(3): 224-226 .

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