最近审阅: 26 十月 2020
最近更新: 17 七月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 哮鸣音
  • 呼吸短促
  • 呼吸急促
  • 胸闷

其他诊断因素

  • 咳嗽
  • 运动受限
  • 心动过速
  • 不能讲话或喂养困难
  • 肋间隙、肋缘下或胸骨凹陷
  • 辅助呼吸肌参与呼吸
  • 奇脉
  • 睡眠障碍
  • 心动过缓
  • 紫绀
  • 疲惫
  • 意识障碍

危险因素

  • 病毒感染
  • 吸入过敏原
  • 锻炼
  • 对常规哮喘药物无依从性
  • 过敏性疾病病史
  • 过敏性疾病家族史
  • 既往严重哮喘发作病史
  • 社会经济地位低
  • 环境刺激物
  • 细菌感染
  • 情感
  • 肥胖
  • 使用非甾体类抗炎药(NSAID)

诊断性检查

首要检查

  • 使用短效 β-2 激动剂治疗实验
  • PEF(呼气峰流速)及FEV1(第一秒用力呼气容积)
更多 首要检查

需考虑的检查

  • 动静脉血气分析
  • 胸部 X 线检查(CXR)
更多 需考虑的检查

治疗流程

撰稿人

Respiratory and Sleep Physician

The Children's Hospital at Westmead

Associate Professor

Discipline of Paediatrics and Child Health

Sydney Medical School

University of Sydney

Sydney

New South Wales

Australia

利益声明

PDR provided training and quality control overreading for multiple breath washout measurements performed during a pharmaceutical sponsored study. Reimbursement for the services provided were paid to PDR's place of work.

Professor

Menzies School of Health Research

Charles Darwin University

Northern Territory

Respiratory and Sleep Physician

Royal Children's Hospital

Brisbane

Australia

利益声明

AC has received research funds from governmental bodies such as Australian National Health and Medical Research Council. AC is an author of a reference cited in this monograph.

同行评议者展开全部内容

Professor of Pediatrics

University of Chicago Comer Children's Hospital

Chicago

IL

利益声明

LAL declares that she has no competing interests.

Consultant in Paediatrics

Adolescent Medicine & Paediatric Respiratory Medicine

University College London Hospitals NHS Foundation Trust

London

UK

利益声明

CM declares that he has no competing interests.

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