慢性咳嗽的处理（Treatment of chronic cough）.docVIP

慢性咳嗽的处理（Treatment of chronic cough） Department of respiration, Zhongda Hospital Chenzhenru Introduction Cough is one of the most common clinical symptoms. * as an important defense mechanism for the human body, it can excrete secretions or foreign bodies in the respiratory tract, and has the function of clearing the respiratory tract stimulating factors and resisting infection. * on the other hand, cough is also harmful, which can cause respiratory tract infections to spread, and a severe and persistent cough can cause all kinds of complications. * the chronic cough of unknown causes is estimated to account for 10 - 38% of the outpatient volume of the pulmonary physician. The cause of cough * infectious factors - upper respiratory diseases, colds, nose, sinuses, or tonsillitis, acute or chronic laryngitis or laryngitis. - tracheal and bronchial diseases, acute and chronic bronchitis, endobronchial tuberculosis, bronchiectasis, etc.. Pulmonary and pleural diseases - infectious diseases and parasitic diseases. The cause of cough * physical and chemical factors Respiratory obstruction, secretions, vomiting or foreign bodies, inhalation of respiratory tract, bronchogenic carcinoma or adenoma Respiratory tract compression, mediastinal tumor or lymph node enlargement, goiter, etc.. - aerosol smoking, inhalation of irritant gases such as ammonia. * allergic factors, allergic rhinitis, bronchial asthma, etc. * other liver, diaphragm lesions affect pleural and lung, leukemia, uremia and connective tissue disease caused by lung infiltration. Pathogenesis of cough * cough is a nerve reflex process, in which the pivot is located near the respiratory center of the medulla. * when the ear, nose, pharynx, larynx, bronchus, lung and pleura and other organs by various causes by stimulation, vagus nerve branches, distribution in these organs of trigeminal nerve, glossopharyngeal nerve stimulation, transfer to the medulla near the cough center. * the efferent fibers pass through the l