Fournier M
Service de pneumologie et réanimation, hôpital Beaujon, Clichy.
Rev Prat. 1992 Dec 1;42(19):2465-8.
The clinical manifestations of bronchial asthma fall into two categories: acute asthma which consists of asthmatic attacks and their variants, and chronic asthma. The treatment of acute asthma is now well established, while that of chronic asthma, more difficult to organize, is part of a true therapeutic strategy which has two aspects: 1. A more global approach to the treatment must be developed. This means full management of asthmatic patients who must be instructed and considered as active partners in the prevention of acute attacks, the evaluation of the severity of their disease and the application of the treatment prescribed. 2. An asthma severity scale must be devised and a specific therapeutic programme must be offered for each stage of the disease. The general principle, beside treatment of acute asthma, is to pay much attention to the intercritical situation and, in particular, to treat effectively the bronchial inflammation.
急性哮喘，包括哮喘发作及其变体，以及慢性哮喘。急性哮喘的治疗方法现已确立，而慢性哮喘的治疗更难组织，它是真正治疗策略的一部分，该策略有两个方面：1. 必须制定更全面的治疗方法。这意味着要对哮喘患者进行全面管理，必须指导他们并将其视为预防急性发作、评估疾病严重程度以及应用规定治疗方法的积极参与者。2. 必须设计一个哮喘严重程度量表，并针对疾病的每个阶段提供特定的治疗方案。除了治疗急性哮喘外，一般原则是要高度重视发作间期的情况，尤其是要有效治疗支气管炎症。
