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NTIS 바로가기대한후두음성언어의학회지 = Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics, v.27 no.2, 2016년, pp.87 - 90
Cough, the most common symptom, encountered in the outpatient clinic can be caused by various underlying diseases. It defines as chronic cough that the duration of cough is more than 8 weeks with a normal chest X-ray findings. The cause of cough can be found out for more than 90% through the appropr...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
기침이란 무엇인가? | 기침이란 상기도(upper airway)의 점액이나 독성물질, 이물질 또는 미생물(microbes)을 제거하여 호흡기(respiratory tract) 를 청소하는 정상적인 자극반응(reflex action)이다. | |
만성 기침의 감별 진단에 가장 먼저 확인되어야 하는 것은? | 만성 기침의 감별 진단에 있어 흡연력, 동반증상, 약물력 등 의 병력 청취가 가장 먼저 확인되어야 하며, 만약 흉부 방사 선검사상 정상 소견을 보인다면 상기도 기침 증후군, 호산구 성 기도 질환, 그리고 위식도역류나 인후두역류질환 같은 흔한 원인을 염두해 두어야한다. | |
흡연자의 기침할 때의 객담이 화농성으로 변하는 것이 의미하는 것은? | 2,5) 흡연자의 기침 시 대개 객담의 양상이 투명 또는 백색을 보인다. 만약 객담이 화농성(purulent)로 변한다면 부비동염이나 기관지 확장증(bronchiectasis) 같은 상, 하기도의 다른 병변이 존재함을 암시한다. 흡연자의 경우 약 4주정도 금연하면 기침이 호전되나 금연도중 일시적으로 기침반사가 증가도기도 한다. |
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