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儿童咳嗽的诊断思路OA

Diagnostic thinking in children's cough

中文摘要英文摘要

咳嗽是机体的保护性生理反射,也是儿童呼吸系统疾病最常见的就诊症状,其并非独立疾病,而是由多种病因引发的共有表现.不同病程、性质、年龄对应的咳嗽病因及处理方式差异显著,给临床诊疗带来诸多挑战.文章从病程、性质、病因3个维度对儿童咳嗽进行分类,明确急慢性及干湿性咳嗽的临床特征,重点阐述儿童慢性干、湿性咳嗽的常见病因与诊断要点,同时梳理出从初步评估到专科转诊的诊疗流程,为临床建立系统的儿童咳嗽诊断与鉴别诊断思路、实现精准诊疗提供参考.

Cough is a protective physiological reflex of the body and the most common reason for children to attend pediatric outpatient and emergency departments,serving as a common symptom of various diseases rather than an independent one.The etiologies and management methods of cough vary significantly with different courses,natures and ages of children,bringing many challenges to clinical diagnosis and treatment.This paper classifies pediatric cough by course,nature and etiology,and clarifies the clinical characteristics of acute and chronic cough as well as dry and wet cough,focusing on the common etiologies for chronic dry and wet cough and the key diagnostic points in children;meanwhile,the diagnosis and treatment process from initial assessment to transfer to specialty department is sorted out,which provides references for constructing a systematic line of thinking about diagnosis and differential diagnosis of pediatric cough and achieving precise diagnosis and treatment..

田代印

复旦大学附属儿科医院呼吸科,上海 201102

医药卫生

儿童咳嗽病因诊断

childcoughetiologydiagnosis

《中国实用儿科杂志》 2026 (6)

484-488,5

10.19538/j.ek2026060606

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