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摘要


咳嗽係呼吸道一種正常防禦功能。成人常見慢性咳嗽的原因如胃食道逆流、鼻涕倒流或氣喘,在兒童則不是主要原因。治療應針對個別原因,隨便在藥房購買成藥,或只作症狀治療,效果不佳也容易有副作用。試用性使用吸入型擴張劑或類固醇的效果可能是「時間性效果」。此等病人應在停藥後,再作評估以減少誤診及過度長期使用類固醇。

並列摘要


Cough is a normal protective mechanism. Chronic cough in children is different from that of adults and rarely are due to GERD, postnasal dripping or asthma. Treatment should be aimed at the specific causes and symptomatic treatment using the Over-The-Counter is not without disadvantage and is usually not effective. The efficacy of empiric uses of inhaled bronchodilator and corticosteroids may be due to the period effect, withdrawal of such therapy and and re-evaluation may be needed for the confirmation of diagnosis, to avoid the overdiagnosis and overtreatment of bronchial asthma using long-term corticosteroids.

延伸閱讀


  • 姚明昇(2008)。小兒過敏性咳嗽中醫兒科醫學雜誌10(1),38-42。https://doi.org/10.30033/JTCDM.200808.0006
  • 康家豪、郭和昌、于鴻仁(2012)。淺談兒童咳嗽臺灣兒童過敏氣喘及免疫學會學會通訊14(2),23-27。https://doi.org/10.7025/HEJ.201207.0023
  • 康家豪、郭和昌、于鴻仁(2012)。淺談兒童咳嗽臺灣兒童過敏氣喘免疫及風濕病醫學會學會通訊13(2),23-27。https://doi.org/10.7025/CFSPIHHHHTH.201207.0023
  • 楊曜旭(2000)。淺談兒童之慢性咳嗽臺灣兒童過敏氣喘及免疫學會學會通訊1(3),11-11。https://doi.org/10.7025/HEJ.200007.0009
  • 陳致仁、謝文斌(1998)。慢性咳嗽的處置當代醫學(292),117-120。https://doi.org/10.29941/MT.199802.0013

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