CAJ | 학술논문

目的了解小儿慢性咳嗽的病因。方法对245例慢性咳嗽患儿的临床资料进行回顾性研究。结果245例小儿咳嗽的原因有呼吸道感染后咳嗽（26．67％），支气管异物（20．83％），上气道咳嗽综合征（15．00％），咳嗽变异性哮喘（12．92％）。小于1岁婴儿慢性咳嗽以呼吸道炎症后咳嗽和误吸母乳为主（62．71％），1～3岁小儿以气管、支气管异物和呼吸道感染后咳嗽为主（占70．09％），大于3岁儿童以咳嗽变异性哮喘和上气道咳嗽综合征为主（68．92％）。结论小儿慢性咳嗽的病因根据年龄段不同而异，主要病因有呼吸道炎症后咳嗽、上气道咳嗽综合征、咳嗽变异性哮喘、支气管异物等，其病因较复杂，须根据咳嗽特征、辅助检查、治疗反应来进一步确定。
목적료해소인만성해수적병인。방법대245례만성해수환인적림상자료진행회고성연구。결과245례소인해수적원인유호흡도감염후해수（26．67％），지기관이물（20．83％），상기도해수종합정（15．00％），해수변이성효천（12．92％）。소우1세영인만성해수이호흡도염증후해수화오흡모유위주（62．71％），1～3세소인이기관、지기관이물화호흡도감염후해수위주（점70．09％），대우3세인동이해수변이성효천화상기도해수종합정위주（68．92％）。결론소인만성해수적병인근거년령단불동이이，주요병인유호흡도염증후해수、상기도해수종합정、해수변이성효천、지기관이물등，기병인교복잡，수근거해수특정、보조검사、치료반응래진일보학정。
Objective To investigate the causes of the chronic cough in children .Methods The clinical data of 245 cases of chronic cough in children were retrospectively studied .Results The causes of 245 cases of infantile cough included cough after respiratory tract infection(26.67%), foreign body in bronchus(20.83%), upper airway cough syndrome (15.00%), and cough variant asthma (CVA) (12.92%).Cough after respiratory tract infection and breast milk aspiration gave priority to chronic cough in baby under 1 year old(62. 71%) .The foreign body in trachea and bronchi and cough after respiratory tract infection were main causes in children aged 1-3 years old (70.09%).CVA and upper airway cough syndrome .(68.92%) were major causes of children over 3 years.Conclusion The etiology of pediatric chronic cough is different for children of different age .The major causes include cough after respiratory tract infection , upper airway cough syndrome , CVA, foreign body in bronchus , and so on.It should be further diagnosed according to cough characteristics , auxiliary examination and therapy because of complex etiology .