中国实用儿科杂志2026，Vol.41Issue(2)：134-138,5.DOI:10.19538/j.ek2026020610
儿童慢性咳嗽:基于干性与湿性分类的诊疗策略
Chronic cough in children:diagnosis and treatment strategies based on dry and productive cough classification
摘要
Abstract
Chronic cough in children(lasting＞4 weeks with no significant abnormalities on chest X-ray)is a common yet challenging management issue in pediatric outpatient practice.This article focuses on this condition and proposes a clinical diagnostic and therapeutic framework based on initial classification of dry and productive cough.This framework helps clinicians quickly narrow down the focus to the most common etiologies,such as cough variant asthma,upper airway cough syndrome,and protracted bacterial bronchitis.It guides targeted evaluation and treatment,emphasizes time-limited diagnostic treatment trials in special outpatient settings,and standardizes the referral pathway.The goal is to reduce the misuse of antibiotics and antitussives,achieve precise management,and improve patient outcomes.关键词
儿童慢性咳嗽/干性咳嗽/湿性咳嗽/病因诊断/治疗策略Key words
chronic cough in children/dry cough/productive cough/etiological diagnosis/treatment strategy分类
医药卫生引用本文复制引用
于兴梅,郝创利..儿童慢性咳嗽:基于干性与湿性分类的诊疗策略[J].中国实用儿科杂志,2026,41(2):134-138,5.基金项目
国家自然科学基金面上项目(82270018) （82270018）
江苏省医学重点学科建设单位项目(JSDW202204) （JSDW202204）
江苏省妇幼保健协会课题(FYX202521) （FYX202521）
苏州医学院临床科技高端平台和转化基地建设项目(ML13101123) （ML13101123）
