Chavasse R J, Bastian-Lee Y, Seddon P
The Royal Alexandra Hospital for Sick Children, Brighton BN1 3JN, UK.
Arch Dis Child. 2002 Dec;87(6):546-7. doi: 10.1136/adc.87.6.546.
Consultant paediatricians were questioned about their management of wheezing disorders in infants. Salbutamol was the preferred bronchodilator for recurrent wheeze, whereas ipratropium was preferred in viral bronchiolitis. Doses of both medications varied widely. Both inhaled and oral corticosteroids were considered by most respondents. Practice does not clearly follow guidelines or evidence and presumably continues to be based on anecdote.
儿科顾问医生被问及他们对婴儿喘息性疾病的治疗方法。沙丁胺醇是治疗复发性喘息的首选支气管扩张剂,而异丙托溴铵则是病毒性支气管炎的首选药物。两种药物的剂量差异很大。大多数受访者都考虑使用吸入性和口服皮质类固醇。实际操作并未严格遵循指南或证据,大概仍然是基于经验。