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目的探讨儿童慢性咳嗽与多发性抽动之间的关系,提高临床医生对多发性抽动引起慢性咳嗽认识,减少误诊发生。方法对2005-01-2009-12济南军区总医院就诊的多发性抽动致慢性咳嗽21例的临床资料进行分析。结果 21例多发性抽动症患儿表现为清嗓13例,干咳5例,叹息2例。初期易误诊为呼吸道感染,后期误诊为咳嗽变异性哮喘、上气道感染综合征、心因性咳嗽。结论儿童多发性抽动中的发生性抽动是引起儿童慢性咳嗽的原因之一。
Objective To explore the relationship between chronic cough and multiple twitch in children and to improve clinicians’ understanding of chronic cough caused by multiple tics and to reduce misdiagnosis. Methods The clinical data of 21 patients with chronic cough caused by multiple tics were analyzed from January 2005 to September 2009 in Jinan Military Region General Hospital. Results 21 cases of children with multiple tic disorder manifested throat throat in 13 cases, dry cough in 5 cases, sigh in 2 cases. Easily misdiagnosed as initial respiratory tract infection, later misdiagnosed as cough variant asthma, upper respiratory tract infection syndrome, heart cough. Conclusions The occurrence of tics in children with multiple tics is one of the causes of chronic cough in children.