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。
其他诊断因素
- 发热
- 哮鸣音
- 干啰音
危险因素
- 病毒或非典型细菌感染暴露
- 吸烟
- 家庭污染暴露
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 肺功能试验
- 胸部 X 线检查
- C 反应蛋白
新兴检查
- 降钙素原
治疗流程
咳嗽 ≤4 周
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
- 2019 冠状病毒病(COVID-19)
- 肺炎
- 变应性鼻炎
更多 鉴别诊断指南
- 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
更多 指南患者教育信息
支气管炎
更多 患者教育信息- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明