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慢性咳嗽在人群的發生率為3%~40%。導致慢性咳嗽的主要原因是上氣道咳嗽綜合征(UACS)、哮喘和胃食管反流病(GERD) 。也有學者將UACS簡化為鼻炎,體現了以鼻腔和鼻竇炎性疾病為代表的上氣道疾病對慢性咳嗽的病因學意義。診療非吸煙、未服用血管緊張素轉化酶(ACE)抑制劑的慢性咳嗽患者,應首先考慮上述三大類疾病,可以單獨或聯合存在。由于臨床癥狀可能僅表現為咳嗽,同時,病史中提示性的線索通常有限,都可能增加診斷的難度。

Citation: ZHANG Luo,WANG Xiaodong,HAN Demin. Nasal diseases and upper airway cough syndrome. Chinese Journal of Respiratory and Critical Care Medicine, 2008, 08(6): 404-407. doi: Copy

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