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郭红荣:咳嗽是隐疾信号久治不愈要警惕

2017-08-09 04:03:36   中国青年网

本报记者王恺凝 通讯员陈敏 李菡

前天立秋,武汉终于即将告别“烧烤”模式。随着天气逐渐转凉,呼吸道疾病患者会增多,咳嗽是呼吸道疾病最常见的症状,约占呼吸科门诊就诊患者的80%以上。

武汉市第三医院光谷院区呼吸内科主任郭红荣说,其实咳嗽本身不是病因,是机体排出呼吸道异物的一种自我保护。但它常常就是隐疾的“信号”,引起咳嗽的病因千差万别,如感冒、支气管炎、肺炎、哮喘等。

“很多人不把咳嗽当回事,结果耽误了治病的最佳时机。”郭红荣提醒,咳嗽症状背后的病因千差万别,要及时就诊。

专家介绍

郭红荣,武汉市第三医院呼吸内科主任医师,湖北省中医药大学教授,硕士生导师,武汉市医师协会呼吸科医师分会副主委。主持完成国家自然科学基金、中华国际医学交流基金会等科研课题。熟练掌握经纤支镜介入治疗、CT引导经皮肺活检、内科胸腔镜、胸膜活检术等,熟练掌握纤支镜引导经鼻气管插管及多种有创、无创呼吸机的应用。

擅长领域

气道疾病介入治疗及呼吸危重症的救治

专家门诊

光谷院区

星期一上午、星期三上午

纤支镜检查让咳嗽病因无所遁形

咳嗽是呼吸系统疾病非常常见的症状,很多患者认为咳嗽只是小毛病而不太重视,尤其对于有抽烟习惯的患者更是如此。其实在临床上咳嗽的诊治并不简单。

39岁的王先生反复咳嗽、咳少许黄脓痰二月余,由于工作忙,只是利用休息时间到社区就诊拿药口服,同时间断进行静脉抗生素输液治疗,但咳嗽一直未愈。

后来,他到三医院光谷院区呼吸内科找专家诊治,郭红荣主任接诊后行肺部CT检查,发现患者气道内可能有问题,为进一步明确诊断,他建议患者行纤支镜检查。

患者听说要做纤支镜检查当即不同意,认为做纤支镜检查痛苦,危险高。郭红荣反复耐心解释,并同家属进行沟通做纤支镜的必要性,并说明纤支镜检查是呼吸科非常成熟的常规检查手段,以消除患者的顾虑,终于说服患者进行纤支镜检查。

检查发现,王先生左下肺支气管腔内有一异物,周围已经化脓感染,局部有轻度肉芽增生,通过纤支镜取出异物竟是半截干辣椒。做完治疗后,王先生才想起来两个多月前与朋友聚餐时曾呛过,但没想到会卡进气管里,患者一家都庆幸通过检查发现了“元凶”,如果干辣椒继续滑入更深处,后果不堪设想。

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