Jaimovich D, Kecskes S A
Department of Pediatrics, University of Illinois, Chicago.
Crit Care Clin. 1992 Jan;8(1):147-62.
The diagnosis of lower airway obstruction is one of the most frequent causes of admission to pediatric intensive care units. Morbidity and mortality have noticeably increased during the past decade. Although the exact causes of the increased morbidity and mortality are not clear, factors that have been implicated include underdiagnosis, delay in referral to the hospital, and inadequate treatment, particularly excessive reliance on bronchodilators and too little use of systemic steroids. A thorough understanding of the pathophysiology underlying the disease should lead to more effective management and decreased mortality and morbidity.
下气道梗阻的诊断是儿科重症监护病房最常见的入院原因之一。在过去十年中，发病率和死亡率显著上升。虽然发病率和死亡率上升的确切原因尚不清楚，但与之相关的因素包括诊断不足、转诊至医院延迟以及治疗不当，尤其是过度依赖支气管扩张剂和系统性类固醇使用过少。对该疾病潜在病理生理学的透彻理解应能带来更有效的管理，并降低死亡率和发病率。
