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以咳嗽为主的支气管哮喘临床上比较少见.而且临床表现不典型、人们对其认识不足,易误诊为其他疾病,作者最近诊治了10例.报道如下.一、临床资料本组男6例,女4例年龄15～40岁,平均32岁,病程2月～5年.临床表现咳嗽10例,咳少量粘痰6例,胸闷9例,发热2例.体检:10例患者双肺均未闻及哮鸣音.8例双肺呼吸音增粗,2例双肺呼吸音清晰.查血6例嗜酸细胞计数增高,最高者达860/mm~3.查过敏原10例均阳性.有的2～3种过敏原阳性(过敏原由北京协和医院变态反应科提供),其中螨过敏者6例、夏秋花粉过敏者5例、霉菌过敏者4例、棉絮过敏者4例、枕垫料过敏者3例.做肺功能测定,其中4例用力肺活量(FVC)及第一秒用力呼出量(FEV_1)和最大呼气中期流速(MMFR)均降低.
To cough-based bronchial asthma clinically rare and clinical manifestations of atypical, people lack of understanding of it, easily misdiagnosed as other diseases, the author recently diagnosed 10 cases reported as follows.A clinical data of this group of 6 males, Female 4 patients aged 15 to 40 years old, average 32 years old, duration of 2 months to 5 years.Clinical manifestations of cough in 10 cases, cough phlegm in 6 cases, 9 cases of chest tightness, fever in 2. Physical examination: 10 patients with both lungs Smell and wheeze .8 cases of double lung breath sound thickening, two cases of lung breath sounds clear .Check blood 6 cases of eosinophil count increased, the highest was 860 / mm ~ 3. Check allergen 10 cases were positive. Some 2 to 3 allergens were positive (allergens provided by the Beijing Union Medical College Hospital Department of Allergy), including 6 cases of mite allergy, summer and autumn pollen allergy in 5 cases, 4 cases of mold allergy, cotton allergy in 4 cases, pillow pad material In 3 patients with allergies, pulmonary function tests were performed, in which FVC, FEV 1 and MMFR were all decreased in 4 patients.