关键词: 上气道咳嗽综合征, 误诊, 鼻部疾病, 咳嗽

Abstract:

Objective    To investigate the clinical features, diagnosis and treatment of upper airway cough syndrome (UACS) in children. Methods    A retrospective analysis of 140 cases of juvenile UACS was performed. Among the patients, there were 102 cases misdiagnosed as chronic bronchitis, 25 cases as cough variant asthma, and 13 cases as Tourette′s syndrome. After the diagnosis were corrected,  all the patients underwent the treatment for nasal diseases. Results        After one 14-day course of treatment,  cough in the patients disappeared or ameliorated, with total remission rate at 92.1% (129/140).  Conclusion    UACS is prone to be misdiagnosed. Nasopharyngeal endoscopy (endoscopic or electronic nasopharyngoscope) is a useful tool to diagnose UACS and  the  prognosis of  UACS is good.

Key words: Misdiagnose, Cough, Nasal disease, Upper airway cough syndrome