山东大学耳鼻喉眼学报

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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. 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   

  1. 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: 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
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