食道鬆弛不能合併慢性咳嗽－－一病例報告

Esophageal Achalasia with Chronic Cough - A Case Report

慢性咳嗽是基層醫療常見主訴之一，影響病患生活品質，其診治對臨床醫師更是一大挑戰。我們以此罕見病例：食道鬆弛不能合併慢性咳嗽來闡述於診治慢性咳嗽病患時，病史、理學檢查和基本胸部X光檢查之重要性，並提出以病患為中心之醫療決策模式以提升醫療品質。

Chronic cough is one of the most prevalent symptoms for which patients seek medical help from primary care physicians. Chronic cough can deeply and adversely affect the quality of a patient’s life and poses a big challenge to the caring physician. Here we present a rare case of “esophageal achalasia with chronic cough”, which demonstrates the importance of history taking, of a good physical examination and of CXR[In full] interpretation when managing chronic cough patients. We also illustrate the concept of patient- centered decision making as a means of improving medical care quality.