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目的分析咳嗽变异性哮喘(CVA)诊疗状况,以提高对CVA的认识,减少误诊误治。方法总结85例CVA患者的临床资料,对其发病特点、误诊误治等情况进行回顾性分析。结果85例CVA患者大部分发病年龄为青壮年、有过敏史,主要症状为咳嗽伴或不伴咳痰或喘息,支气管激发或舒张试验阳性,支气管扩张剂和糖皮质激素治疗有效。结论本病易误诊误治,早期正确诊断,有利于治疗及预后。
Objective To analyze the diagnosis and treatment of cough variant asthma (CVA) so as to improve the understanding of CVA and reduce the misdiagnosis and mistreatment. Methods The clinical data of 85 patients with CVA were summarized, and their characteristics of onset, misdiagnosis and mistreatment were retrospectively analyzed. Results The majority of 85 CVA patients were young and old. They had a history of allergies. The main symptoms were cough with or without sputum or wheeze, positive bronchial provocation or diastolic test, bronchodilators and glucocorticoid therapy. Conclusion The disease is easy to misdiagnosis and mistreatment, early diagnosis, is conducive to the treatment and prognosis.