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KERD
논문KCI 등재

기침

Cough

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다운로드

3

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참고문헌

키워드

주제분류내과학

초록

Cough is an important defensive reflex of the respiratory tract needed to clear and protect the airways; however, it may become exaggerated and interfere with quality of life. Chronic cough is one of the most common symptoms leading to referral to secondary or tertiary hospital. The purpose of this article is to review the most common causes of chronic cough and to provide a comprehensive algorithms for clinician in evaluating and treating the patient with chronic cough. After excluding the possibility of smoking, angiotensin converting enzyme inhibitor or other specific abnormality in chest radiography as a cause of chronic cough, upper airway cough syndrome (UACS), previously named as postnasal drip syndrome, asthma, nonasthmatic eosinophilic bronchitis (NAEB), and gastroesophageal reflux disease (GERD) are the most common causes of chronic cough and these conditions may be present alone or in combination. Chronic cough can be cured in most people by treatment of these underlying causes of chronic cough.

Abstract

Cough is an important defensive reflex of the respiratory tract needed to clear and protect the airways; however, it may become exaggerated and interfere with quality of life. Chronic cough is one of the most common symptoms leading to referral to secondary or tertiary hospital. The purpose of this article is to review the most common causes of chronic cough and to provide a comprehensive algorithms for clinician in evaluating and treating the patient with chronic cough. After excluding the possibility of smoking, angiotensin converting enzyme inhibitor or other specific abnormality in chest radiography as a cause of chronic cough, upper airway cough syndrome (UACS), previously named as postnasal drip syndrome, asthma, nonasthmatic eosinophilic bronchitis (NAEB), and gastroesophageal reflux disease (GERD) are the most common causes of chronic cough and these conditions may be present alone or in combination. Chronic cough can be cured in most people by treatment of these underlying causes of chronic cough.

참고문헌 (8)

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  2. Irwin RS, "Managing cough as a defense mechanism and as a symptom. A consensus panel report of the Americal College of Chest Physicians", Chest, 111, pp.133S~181S (1998)
  3. Pratter MR, "An algorithmic approach to chronic cough", Ann Intern Med, 119, pp.977~983 (1993)
  4. 지영구, "만성기침으로 내원한 환자에서 원인 질환 및 빈도에 관한 전향적 연구", 천식 및 알레르기, 18, pp.222~231 (1998)
  5. 지영구, "기침형 천식 환자에서 capsaicin 기침 반사의 감수성에 관한 연구", 알레르기, 16, pp.511~519 (1996)
  6. Park HW, "Complementary roles of capsaicin cough sensitivity test and induced sputum test to methacholine bronchial provocation test in predicting response to inhaled corticosteroids in patients with chronic nonproductive cough", Ann Allergy Asthma Immunol, 98, pp.533~539 (2007)
  7. Pratter MR, "An empiric integrative approach to th management of cough: ACCP evidence-based clinical practice guidelines", Chest, pp.222S~231S (2006)
  8. Pavord ID, "Mangement of chronic cough", Lancet, 371, pp.1375~1384 (2008)

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