Saturday, November 21, 2015

Children with recurrent cough? Caution chronic cough

Cough is a common respiratory diseases, problems are often encountered in the children's parents, some children often repeated coughing, it makes parents anxious. Chronic cough can be divided into specific and non-specific cough cough, cough accompanied by former refers can prompt other symptoms or signs of specific causes, namely cough is one of the symptoms of these diseases diagnosed; the latter refers to cough as the main or sole manifestation, chest x-ray showed no abnormal chronic cough. China's "Chinese children with chronic cough diagnosis and treatment guidelines," the chronic cough is defined as: cough as the main or only clinical manifestations, duration> 4 weeks, chest x-ray showed no abnormalities.
Clinically causes cough complex, especially for children with chronic cough, the diagnosis of a certain degree of difficulty, different age children with chronic cough it is different, mainly in the following several stages.
Infant (<1 abnormalities="" after="" and="" congenital="" cough="" gastroesophageal="" infection="" infections="" lung="" mind.="" old="" other="" p="" reflux="" respiratory="" trachea="" tuberculosis="" year="">Early childhood (1-3 years old): respiratory infections and infection cough, upper airway cough syndrome, cough variant asthma, airway foreign body, gastroesophageal reflux, tuberculosis.
Preschool (3-6 years old): Same as the cause of early childhood, in addition there bronchiectasis.
Preschool (6 years to puberty): upper airway cough syndrome, cough variant asthma, infection cough, tuberculosis, psychogenic cough, airway foreign body, bronchiectasis.
The clinical diagnosis of children with chronic cough should fully consider the age factor, which is an important feature for children is different from adults. Evidence based medicine Tip: etiology of chronic cough in children and adults are not the same, and the reason chronic cough in children of different ages there are differences, so that a child cough diagnosis and treatment can not completely follow adult guidelines, and should be in line with the characteristics of children with chronic cough were diagnosis and treatment.

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