中国儿童慢性湿性咳嗽的诊断与治疗专家共识(2019年版)

2019-04-20 中华医学会儿科学分会呼吸学组 中国实用儿科杂志.2019,34(4):256-264.

慢性咳嗽是儿童最常见的就诊原因之一。根据咳嗽性质可分为慢性干性咳嗽和慢性湿性咳嗽,干性咳嗽即无痰或痰量甚少的咳嗽,湿性咳嗽即咳痰量多者的咳嗽,但年幼儿童湿性咳嗽常无法咯痰,而仅表现为喉间痰鸣。准确的病因诊断是合理治疗的基础。慢性咳嗽病因复杂,具有较强的异质性。而慢性干性咳嗽和慢性湿性咳嗽的病因构成也存在着差异,两者的分类判断对慢性咳嗽的病因诊断具有重要的指向价值。近3年中华医学会儿科学分会呼吸学组

中文标题:

中国儿童慢性湿性咳嗽的诊断与治疗专家共识(2019年版)

发布日期:

2019-04-20

简要介绍:

慢性咳嗽是儿童最常见的就诊原因之一。根据咳嗽性质可分为慢性干性咳嗽和慢性湿性咳嗽,干性咳嗽即无痰或痰量甚少的咳嗽,湿性咳嗽即咳痰量多者的咳嗽,但年幼儿童湿性咳嗽常无法咯痰,而仅表现为喉间痰鸣。准确的病因诊断是合理治疗的基础。慢性咳嗽病因复杂,具有较强的异质性。而慢性干性咳嗽和慢性湿性咳嗽的病因构成也存在着差异,两者的分类判断对慢性咳嗽的病因诊断具有重要的指向价值。近3年中华医学会儿科学分会呼吸学组慢性咳嗽协作组,在“2009—2010年中国儿童慢性咳嗽病因构成比多中心研究”的基础上,遵循《中国儿童慢性咳嗽诊断与治疗指南(2013年修订)》,对我国儿童慢性湿性咳嗽的病因构成做了初步的研究,结果显示:前四位病因是上气道咳嗽综合征(upper airway cough syndrome,UACS)、哮喘合并UACS、哮喘合并感染、迁延性细菌性支气管炎(protract/persistent bacterial bronchitis,PBB)。为提高儿童慢性湿性咳嗽临床诊治的规范化,现推出《中国儿童慢性湿性咳嗽的诊断与治疗专家共识(2019年版)》,我们深知,对儿童慢性湿性咳嗽的研究还处起步阶段,还需在临床实践中不断修正和完善。 

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    2021-07-18 huihui0728

    学习

    0

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    2021-07-18 huihui0728

    学习

    0

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    2021-05-08 ms4000001894124129

    非常好

    0

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    2021-03-20 ms5000001146316601

    谢谢

    0

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    2021-02-25 ms4000002054690462

    学习

    0