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上气道咳嗽综合征

最后审阅: 1 Nov 2024
最后更新: 08 Aug 2023

小结

定义

病史和体格检查

关键诊断因素

  • 咳嗽
  • 喉不适感
  • 鼻后滴流
  • 鹅卵石样粘膜
完整详情

其他诊断因素

  • 鼻腔异常
  • 鼻炎症状
  • 咽后壁黏液
  • 喘鸣
  • 语音障碍
  • 烧心/消化不良
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危险因素

  • 季节性触发因素
  • 职业性触发因素
  • 女性
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诊断性检查

首要检查

  • 经验性治疗试验
  • 胸部 X 线检查
  • 全血细胞计数 (FBC)
  • 红细胞沉降率
  • C 反应蛋白 (CRP)
  • 肺量测定法
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需考虑的检查

  • 直接鼻咽喉镜检查
  • 血清 IgE 水平
  • 特异性气源性致敏原放射变应原吸附测定 (RAST)
  • 呼气流速峰值 (peak expiratory flow rate, PEFR)
  • 鼻窦 CT 扫描
  • 胸部 CT(使用或不使用静脉造影剂)
完整详情

新兴检查

  • 支气管激发试验

治疗流程

初步治疗

疑似上气道咳嗽综合征 (UACS)

急症处理

确诊上气道咳嗽综合征 (UACS)

撰稿人

作者

Kian Fan Chung, MD, FRCP

Professor of Respiratory Medicine

Head of Experimental Studies Medicine

National Heart and Lung Institute

Imperial College London

Royal Brompton Hospital

London

UK

利益声明

KFC has received remuneration for taking part in advisory board meetings on asthma, COPD, and cough, organised by GSK, AstraZeneca, Novartis, Merck, Boehringer Ingelheim, TEVA, Menlo Therapeutics and 4D pharma. KFC has also been on a speaker's bureau for AstraZeneca and Novartis, and has received educational grants from AstraZeneca, GSK, Bionorica, PGT Healthcare, and Vernalis Therapeutics, for supporting the Ninth London International Cough Symposium held in London in 2016.

鸣谢

Professor Kian Fan Chung would like to gratefully acknowledge Dr James H. Hull, a previous contributor to this topic.

利益声明

JHH has received advisory board fees from Menlo Pharmaceuticals, and speaking and travel fees from TEVA and Boehringer Ingelheim.

同行评议者

J. Mark Madison, MD

Professor of Medicine

Chief

Pulmonary, Allergy and Critical Care Medicine

University of Massachusetts Medical School

Worcester

MA

利益声明

JMM declares that he has no competing interests.

Omar S. Usmani, MBBS, PhD, FHEA, FRCP

NIHR Career Development Fellow

Clinical Senior Lecturer

Imperial College London

Consultant Physician in Respiratory & Internal Medicine

Royal Brompton Hospital

London

UK

利益声明

OSU declares that he has no competing interests.

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