最近门诊上的感冒患者数量仍然维持高位，下午上了个门诊，推门进来的多数是感冒发烧后咳嗽不止的，其中不少是咽喉痒，咳嗽不止的患者，这些患者被咳嗽折磨的痛苦不堪，不仅白天咳，晚上更是咳嗽的睡不着觉，更有甚者，有些老年女性甚至咳嗽到小便憋不住，非常难为情。

遇到这种情况不能仅靠抗生素和普通止咳药物治疗，尤其是白天咳嗽不严重，晚上一躺下就咳嗽不止的患者，很多人吃了各种止咳药不起效，我要开药的时候患者甚至说没用的，我什么药都吃过了，我说哮喘药吃过吗？她立马问吃哮喘药干嘛，我又不是哮喘。

其实咳嗽病因很多，肺部CT查不出问题的咳嗽就有十多种病因，包括鼻炎，鼻窦炎，胃食管反流，咽炎，扁桃体炎，变应性咳嗽，嗜酸性粒细胞性支气管炎等，还有一种比较特殊的咳嗽就是咳嗽变异性哮喘，说它特殊就是因为其导致的咳嗽多数发生在晚间，有的睡觉前咳嗽，有的睡着了能咳醒，而其他咳嗽多数发生于白天，咳嗽变异性哮喘容易受到感染诱发，所以有些人感冒后会出现这种咳嗽。

最近流行的病毒常会诱发这种情况的发生，有些人够不上咳嗽变异性哮喘的诊断，但症状类似，称为气道反应性增高，也可以称为过度敏感，这种情况治疗方法是类似的，都是按照哮喘治疗才能好。

当然了，所有症状都不是绝对的，出现了症状还是要到医院进一步诊治，避免耽误治疗。

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174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--appmsgExtra-BG: #121212}}.rich_media_content p{clear:both;min-height:1em}td p{margin:0;padding:0}@media screen and (min-width:1024px){body:not(.pages_skin_pc) :root{--appmsgPageGap: 20px;--appmsgPageBottomGap: 40px}}:root{--articleFontsize: 17px}:root{--sab: env(safe-area-inset-bottom)}:root{--wxBorderAvatarRatio: 3}:root{--discussPageGap: 20px}:root{--immersive-safe-bottom: env(safe-area-inset-bottom)}:root{--appmsgPageGap: 20px;--appmsgPageBottomGap: 40px}

div.autoTypeSetting24psection > p,div.autoTypeSetting24psection > section{margin-bottom: 24px;}