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鼻后滴漏综合征与儿童慢性咳嗽的关系

Correlation between chronic cough and postnasal drip syndrome in children

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【作者】 李淑洁张峰高振锋吕凌燕吴玉梅

【Author】 LI Shu-jie,ZHANG Feng,GAO Zhen-feng,LU¨ Ling-yan,WU Yu-mei(Department of Otorhinolaryngology,Liaocheng Second People′s Hospital,Linqing 252601,Shandong,China)

【机构】 聊城市第二人民医院耳鼻咽喉科聊城市第二人民医院耳鼻咽喉科 山东临清252601山东临清252601

【摘要】 目的:探讨儿童慢性咳嗽与鼻后滴漏综合征(postnasal drip syndrome,PNDS)的关系。方法:回顾性分析2002年6月至2005年6月我院收治的75例以鼻后滴漏为主要临床特点并发慢性咳嗽的鼻-鼻窦疾病患儿的诊治过程。结果:本组均以慢性咳嗽为主诉,而慢性鼻炎、鼻窦炎、变应性鼻炎、腺样体炎是PNDS引起慢性咳嗽的常见原因。本组误诊为反复呼吸道感染、气管炎、变异性哮喘、异物、肺炎等30例,漏诊13例,误、漏诊率为56.7%。结论:鼻、鼻窦疾病所致鼻后滴漏可以并发慢性咳嗽,而不表现出典型、明确的鼻-鼻窦疾病症状。临床工作中应积极治疗鼻、鼻窦疾病,避免误、漏诊。

【Abstract】 Objective: To explore the correlation between chronic cough and postnasal drip syndrome(PNDS) in children.Method: A retrospective study was carried out among 75 cases of postnasal drip syndrome.Results: Chronic cough was the main complaint but no obvious lesions were found in the throat,trachea and branches,however,definite lesions were determined in the nasal cavity and/or paranasal sinuses including chronic rhinitis,nasosinusitis,allergic rhinitis and adenoiditis. 30 cases were misdiagnosed as repetitive respiratory infection,bronchitis,variant asthma,foreign bodies in the respiratory tract,or pneumonia,and in 13 cases a diagnosis was missed.Conclusion: Postnasal drip syndrome can be cured following effective treatment.

【关键词】 鼻后滴漏综合征咳嗽儿童
【Key words】 Postnasal drip syndromeCoughChild
  • 【文献出处】 山东大学耳鼻喉眼学报 ,Journal of Otolaryngology and Ophthalmology of Shandong University , 编辑部邮箱 ,2007年04期
  • 【分类号】R765.25
  • 【被引频次】7
  • 【下载频次】163
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