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慢性咳嗽
Chronic Cough


Jaclyn A. Smith ... 呼吸系统疾病 • 2016.10.20

杂志的这一部分首先引入一个病例摘要来强调一个常见的临床问题,然后提出有证据支持的各种策略。如果存在正式的指南,作者则对此进行综述。文章以作者的临床建议结尾。


一名63岁的女性因持续一年的慢性干咳伴咽喉刺激感而就诊。患者的长时间咳嗽发作伴发压力性尿失禁,并且偶尔最终发生干呕和呕吐。其咳嗽由气温变化、强烈气味(如清洁产品的气味)、大笑和长时间讲话所触发。患者无值得关注的病史,自诉其他方面身体健康,并且不吸烟。医生之前曾给该患者开出支气管扩张药,以及吸入和鼻内给药的糖皮质激素,但患者并未从上述任何药物中获益。体检、胸部X线片和肺量测定的结果正常。您将如何进一步评价和治疗这一状况?





作者信息

Jaclyn A. Smith, M.B., Ch.B., Ph.D., and Ashley Woodcock, M.D.
From the University of Manchester, University Hospital of South Manchester, Manchester Academic Health Sciences Centre, Manchester, United Kingdom. Address reprint requests to Dr. Woodcock at the North West Lung Research Centre, University of Manchester, Southmoor Rd., Manchester M23 9LT, United Kingdom, or at ashley.woodcock@manchester.ac.uk.

 

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