入冬以来，沪上各大医疗机构的呼吸科病人剧增，其中多半伴有咳嗽、咽喉疼痛、咽喉干痒等症状。针对空气污染导致咳嗽高发的说法，医生认为，导致咳嗽的原因有很多，并不一定与空气污染有关，但是如果长期吸入受污染的空气，肯定会导致呼吸系统的损害。

Since winter,Shanghai each big medical institutions of respiratory medicine patient leaps,The most associated with cough/Throat pain/The symptom such as dry throat itching.According to the air pollution cause cough that high,Doctors think,There are many reasons lead to cough,Is not necessarily related to air pollution,But if inhaled polluted air,Will lead to respiratory damage.

　呼吸科病人增多 Respiratory medicine more patients

　　浦东新区北蔡社区卫生服务中心门诊办公室主任、副主任医师郭海英介绍说，近一个月以来，咳嗽的病人明显增多，仅上周六一天她就接诊了100多号病人，其中一半以上有咳嗽、咽部不适症状，血常规检查显示白细胞不高，没有发生呼吸道感染，多为非感染性因素对呼吸道产生刺激而造成咳嗽。

Pudong new area north CAI community health service center outpatient office director/Of doctor of vice director of GuoHaiYing said,Nearly a month since,Cough patients increased obviously,Only a day on Saturday she accepts the number more than 100 patients,More than half of them have a cough/Pharyngeal symptoms,Routine blood test shows that white blood cells is not high,Did not happen respiratory infections,For non infectious factors on respiratory stimulates the production of and cause cough.

　　近两个月来，前往浦南医院呼吸科就诊的病人也较平时增加了两成左右，其中大部分伴有咳嗽。医院呼吸科主任马陆弟表示，这些病人呈现持续性、刺激性、阵发性咳嗽的特点，晚上咳得比较厉害，肺部纹理没有实质性变化，血常规检查正常，很少有发烧，抗生素治疗普遍不起作用。

Nearly two months,To PuNa hospital respiratory medicine clinic patients are usually increased by about twenty percent,Most of them with a cough.Hospital director of respiratory medicine involved brother said,These patients present continuous/irritating/The characteristics of paroxysmal cough,Night cough more severe,Lung texture no substantial changes,Normal routine blood test,Seldom have a fever,Antibiotic treatment generally doesn't work.

　　马陆弟说，对于这类咳嗽患者，临床上一般施以抗过敏、减轻支气管痉挛、化痰止咳等药物治疗，症状通常能得到缓解，如果不经医生检查，随意使用阿奇霉素、头孢等抗生素，不仅不能缓解咳嗽，反而造成抗生素的滥用。

Involved brother said,For this kind of patients with cough,Clinical general with allergy/Reduce bronchospasm/Phlegm cough and other drugs,Symptoms usually can get relief,If you don't the doctor check,Optional use of azithromycin/Cephalosporin antibiotics,Not only can relieve a cough,They cause the abuse of antibiotics.

　两到四周可痊愈 Two to four weeks can be healed

　　郭海英说，咳嗽有的由呼吸道感染引起，也有非感染因素刺激气道所造成，其中病因明确的咳嗽只占一小部分，大部分咳嗽无明确病因。

GuoHaiYing said,Some cough by respiratory tract infections,Also has the infection factors caused by stimulating the airway,The causes of cough clear accounts for only a small part,Most of the cough without clear etiology.

　　对于近阶段咳嗽高发这一现象，专家认为，一方面冬季本身是呼吸道疾病高发时节，另一方面，大气环境和寒冷天气令呼吸道“雪上加霜”。因为寒冷、雾霾、温差等因素导致气道黏膜损伤或受到刺激，使黏膜发生水肿、出血等炎症反应，而咳嗽就是呼吸道受损后的典型表现。因此，咳嗽患者应加强对呼吸道系统的修复性治疗，而不是滥用抗生素治疗。

For nearly stage cough high-risk this phenomenon,Experts say,On the one hand winter respiratory disease itself is high season,On the other hand,The atmospheric environment and cold weather to respiratory tract"Add insult to injury".Because of the cold/Fog haze/Temperature difference factors lead to the airway mucosa damage or stimulated,Make mucosa edema happened/Bleeding and other inflammatory reaction,And cough is respiratory tract after damage model performance.so,Cough patients should strengthen the respiratory system repair therapy,Not abuse antibiotic treatment.

　　一般来说，随着呼吸道健康的恢复，急性咳嗽在两到四周的时间可以痊愈，如果是超过两个月的慢性咳嗽，要去医院做进一步检查和治疗。因为气道如果长期处于痉挛状态，可能会对肺功能产生影响。(记者 金恒 特约通讯员 蒲欣）

Generally speaking,Along with the respiratory health recovery,Acute cough in two to four weeks time can heal,If it is more than two months of chronic cough,Want to go to a hospital making further examination and treatment.Because the airway if long-term in spasticity,May influence on lung function.(Reporter JinHeng stringer PuXin)