急性支气管炎

最后审阅: 1 九月 2022
最后更新: 13 五月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 咳嗽持续时间小于 30 日
  • 排痰性咳嗽
  • 无慢性呼吸系统疾病史
  • 排除引起症状的其他呼吸系统疾病和心脏疾病。
更多 关键诊断因素

其他诊断因素

  • 发热
  • 哮鸣音
  • 干啰音
其他诊断因素

危险因素

  • 病毒或非典型细菌感染暴露
  • 吸烟
  • 家庭污染暴露
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

需考虑的检查

  • 肺功能试验
  • 胸部 X 线检查
  • C 反应蛋白
更多 需考虑的检查

新兴检查

  • 降钙素原

治疗流程

急症处理

咳嗽 ≤4 周

持续性治疗

咳嗽 >4 周

撰稿人

作者

William J. Hueston, MD

Senior Associate Dean for Academic Affairs

Professor of Family and Community Medicine

Medical College of Wisconsin

Milwaukee

WI

利益声明

WJH receives compensation from the American Physicians' Institute for the development and presentation of continuing physician education material related to primary care respiratory diseases, including acute bronchitis. WJH has received compensation from the Hong Kong Food and Health Bureau’s Research Fund Secretariat to review research grants for respiratory conditions such as acute bronchitis. He is also the author of a number of references cited in this topic.

鸣谢

Dr William J. Hueston would like to gratefully acknowledge Dr Ann M. Rodden, a previous contributor to this topic.

利益声明

AMR declares that she has no competing interests.

同行评议者

David L. Hahn, MD

Clinical Professor

School of Medicine and Public Health

University of Wisconsin-Madison

WI

利益声明

DLH declares that he has no competing interests.

Cristine Radojicic, MD

Staff Physician

Cleveland Clinic

Cleveland

OH

利益声明

CR declares that she has no competing interests.

Philip W. Ind, BA (Cantab), MB BChir, MA (Cantab), FRCP

Consultant Physician

Honorary Senior Lecturer

Imperial College Healthcare Trust

Hammersmith Hospital

London

UK

利益声明

PWI declares that he has no competing interests.

  • 鉴别诊断

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    • 肺炎
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  • 指南

    • 免疫功能正常成人门诊患者的急性支气管炎所致急性咳嗽:CHEST 专家小组报告
    • 咳嗽(急性):抗菌药物处方
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  • 患者教育信息

    支气管炎

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