Casimir G, Hanssens L, Mulier S
Clinique de Pneumologie Pédiatrique, H.U.D.E.R.F., Bruxelles.
Rev Med Brux. 2009 Sep;30(4):229-33.
Acute respiratory dyspnea is very frequent in children and must be quickly treated to obtain the best prognosis. The diagnosis depends from the natural history of the disease and from the quality of clinical assessment. The use of an algorithm according to the presence of stridor or bronchospasm is very contributive to the diagnosis. The paper reviews the pathophysiology of dyspnea in children and the more common diseases that are causing respiratory distress. Finally, treatment of respiratory failure and management of specific diseases are defined.
急性呼吸性呼吸困难在儿童中非常常见,必须迅速治疗以获得最佳预后。诊断取决于疾病的自然史和临床评估的质量。根据喘鸣或支气管痉挛的存在使用算法对诊断非常有帮助。本文综述了儿童呼吸困难的病理生理学以及引起呼吸窘迫的更常见疾病。最后,明确了呼吸衰竭的治疗和特定疾病的管理。