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慢性咳:评估和管理

Kento Sonoda1, Ravi Nayak1

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概括
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影响数百万人的慢性咳需要通过基本测试和向治疗进行初步评估. 对于持久的病例,可能需要物理治疗和药物试验等疗法.

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科学领域:

  • 肺部病理学 肺部病理学
  • 耳鼻喉科 耳鼻喉科 耳鼻喉科
  • 一般医学 一般医学.

背景情况:

  • 慢性咳被定义为在成年人中持续超过8周,在儿童中持续超过4周的咳.
  • 据估计,在美国有超过1230万人患有慢性咳.
  • 常见的原因包括上呼吸道咳综合征,喘,GERD和喉回流.

研究的目的:

  • 概述成人和儿童慢性咳的诊断和治疗策略.
  • 强调最初的成本效益评估和有针对性的疗法.
  • 为管理慢性耐火咳和儿科病例提供指导.

主要方法:

  • 最初的评估包括胸部X光学,精神测量和药物,环境和触发因素的评估.
  • 对常见病因开始实证和向治疗.
  • 对于耐火病例,可以考虑物理治疗,语言治疗, gabapentin 或 amitriptyline.
  • 如果初步测试没有显著的结果,请转诊专家进行支气管镜检查或鼻腔镜检查.
  • 儿科评估考虑了长期的细菌性支气管炎,喘,支气管炎和GERD.

主要成果:

  • 摘要概述了慢性咳的常见原因和诊断途径.
  • 它建议用于流行病因的初始成本有效的测试和治疗方法.
  • 详细介绍了慢性难治性咳和儿科表现的管理策略.

结论:

  • 慢性咳的有效管理需要一个系统的方法,从基本诊断和有针对性的治疗开始.
  • 向专家推和考虑先进疗法对于耐火病例至关重要.
  • 对于儿科慢性咳,需要特别考虑,包括对某些表现的观察.