Elizur Arnon, Bacharier Leonard B, Strunk Robert C
Division of Allergy and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, MO 63110, USA.
J Asthma. 2007 May;44(4):285-9. doi: 10.1080/02770900701340445.
Factors resulting in intensive care unit (ICU) admissions for asthma exacerbations remain largely unclear. We compared ICU and general pediatric ward admissions for asthma exacerbations. Charts of 56 (2- to 18-year-old) patients admitted consecutively to the ICU during a 1-year period for asthma exacerbations were compared with charts of 56 age-, sex-, race-, and era-matched patients admitted to a general pediatric ward. Few patients in both groups received oral steroids before admission. Children with different chronic asthma severities had comparable severities of acute exacerbation. In conclusion, acute asthma exacerbations dissociate in severity from chronic asthma and are under-treated with systemic corticosteroids.
导致因哮喘急性发作而入住重症监护病房（ICU）的因素在很大程度上仍不明确。我们比较了因哮喘急性发作入住ICU和普通儿科病房的情况。将1年内因哮喘急性发作连续入住ICU的56例（2至18岁）患者的病历与入住普通儿科病房的56例年龄、性别、种族和年代相匹配患者的病历进行了比较。两组中很少有患者在入院前接受口服类固醇治疗。不同慢性哮喘严重程度的儿童急性发作严重程度相当。总之，急性哮喘发作的严重程度与慢性哮喘无关，且全身用皮质类固醇治疗不足。
