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目的分析小儿慢性咳嗽的多种病因及正确治疗方法。方法对慢性咳嗽4周～2年的102例患儿的辅助检查资料、临床病因及治疗进行分析。结果对不同患儿分别采用血常规,血清IgG、IgA、IgM及肺炎支原体IgM检测,胸部、副鼻窦瓦氏位、胃食管钡餐X线检查,副鼻窦CT、纤维支气管镜等检查,确诊反复呼吸道感染35例(34.3%),支原体感染23例(22.5%),咳嗽变异性哮喘21例(20.6%),上气道咳嗽综合征12例(11.8%,其中慢性咽炎5例、副鼻窦炎4例、慢性扁桃体炎3例),支气管异物3例(2.9%),胃食管反流2例(2.0%),其他6例(5.9%)。分别对原发病采用针对性治疗,均取得较好疗效。结论对于慢性咳嗽病儿,应重视对不同病因的诊断,进而进行针对性治疗。
Objective To analyze the various causes of chronic cough in children and the correct treatment. Methods 102 cases of children with chronic cough from 4 weeks to 2 years of auxiliary examination data, clinical etiology and treatment were analyzed. Results The blood samples, IgG, IgA, IgM and IgM of Mycoplasma pneumoniae, chest and paranasal sinus, Valsalva barium meal X-ray examination, paranasal sinuses CT and fiberoptic bronchoscopy were used respectively to diagnose recurrent respiratory tract (34.3%), mycoplasma infection in 23 cases (22.5%), cough variant asthma in 21 cases (20.6%), upper airway cough syndrome in 12 cases (11.8%, including 5 cases of chronic pharyngitis, paranasal sinusitis 4 3 cases of bronchial foreign body (2.9%), 2 cases of gastroesophageal reflux (2.0%) and 6 cases (5.9%) of chronic tonsillitis. Respectively on the primary disease using targeted treatment, have achieved good results. Conclusion For children with chronic cough, attention should be paid to the diagnosis of different causes, and then targeted treatment.