最近审阅: 4 十一月 2020
最近更新: 13 九月 2018

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
更多 首要检查

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
更多 需考虑的检查

新兴检查

  • 支气管激发试验
更多 新兴检查

治疗流程

撰稿人

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.

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.

同行评议者展开全部内容

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.

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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