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首页> 外文期刊>Pulmonary therapy. >Chronic Cough in Adults: Make the Diagnosis and Make a Difference
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Chronic Cough in Adults: Make the Diagnosis and Make a Difference

机译：成人慢性咳嗽：做出诊断并有所作为

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Chronic cough is common and impactful, frustrating both patients and clinicians. An empirical trial of therapy is often done with inhaled corticosteroids, but this practice should be replaced with attempting to make an accurate diagnosis. The three most common causes are upper airway cough syndrome, asthma, and gastroesophageal reflux disease (GERD), but there are often multiple causes involved. Minimal investigations after history, physical exam, travel history, and drug history include a chest radiograph and spirometry. Empirical trial of therapy with inhaled corticosteroids is reasonable if there is evidence of eosinophilic inflammation. Empiric therapy for GERD may also be reasonable in those with symptoms. Red flags should especially be considered an urgency to make the correct diagnosis.
机译：慢性咳嗽是常见且有影响的，使患者和临床医生都感到沮丧。吸入皮质类固醇通常会进行治疗的经验性试验，但应以尝试进行准确诊断来代替这种做法。三种最常见的原因是上呼吸道咳嗽综合征，哮喘和胃食管反流病（GERD），但通常涉及多种原因。对病史，体格检查，旅行史和吸毒史进行的最少检查包括胸部X光片和肺活量测定。如果有嗜酸性粒细胞炎症的证据，则吸入皮质类固醇激素治疗的经验试验是合理的。对于有症状的人，GERD的经验疗法也可能是合理的。特别应考虑将红旗作为做出正确诊断的紧迫性。

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