CAJ | 학술논문

尽管咳嗽变异性哮喘、上气道咳嗽综合征/鼻后滴流综合征、嗜酸粒细胞性支气管炎和胃食管反流性咳嗽被普遍认为是不明原因慢性咳嗽(简称慢性咳嗽)最常见病因,但感染后咳嗽也是引起长期咳嗽的一个重要因素.由肺炎支原体和肺炎衣原体等引起的感染后咳嗽多为人们所熟知,且常经验性使用大环内酯类抗生素对其治疗.长期以来,百日咳被认为在儿童呼吸道感染性疾病中较为常见,但近年来的研究表明,百日咳杆菌感染也是引起成人慢性咳嗽的常见原因,需要加以重视和鉴别.
진관해수변이성효천、상기도해수종합정/비후적류종합정、기산립세포성지기관염화위식관반류성해수피보편인위시불명원인만성해수(간칭만성해수)최상견병인,단감염후해수야시인기장기해수적일개중요인소.유폐염지원체화폐염의원체등인기적감염후해수다위인문소숙지,차상경험성사용대배내지류항생소대기치료.장기이래,백일해피인위재인동호흡도감염성질병중교위상견,단근년래적연구표명,백일해간균감염야시인기성인만성해수적상견원인,수요가이중시화감별.
Although cough variant asthma,upper airway cough syndrome/postnasal drip syndrome,eosinophilic bronchitis and gastroesophageal reflux disease are generally considered as the most common causes of chronic cough,postinfectious cough is also an important factor.Mycoplasma pneumonia and Chlamydia pneumonia have been well known and we often empirically use macrolides for its treatment.Over the years,pertussis has been commonly considered infectious respiratory disease in children.But recent studies have demonstrated it's a common cause of persistent cough in adults and should be considered in differential diagnosis.