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
其他诊断因素
- 鼻腔异常
- 鼻炎症状
- 咽后壁粘液
- 喘鸣
- 语音障碍
- 烧心/消化不良
危险因素
- 季节性触发因素
- 职业性触发因素
- 女性
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 (ESR)
- C 反应蛋白 (CRP)
- 肺量测定法
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
新兴检查
- 支气管激发试验
治疗流程
疑似上气道咳嗽综合征 (UACS)
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.
James H. Hull, PhD, FRCP
Consultant Respiratory Physician
Respiratory Medicine
Royal Brompton Hospital
London
UK
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.
鉴别诊断
- 慢性咳嗽的其他原因
- 变应性鼻炎
- 非变应性鼻炎（常年性）
更多 鉴别诊断指南
- 原因不明慢性咳嗽的治疗
- 继发于鼻窦疾病的慢性上气道咳嗽综合征（既往称为鼻后滴漏综合征）
更多 指南
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