Can Fam Physician. 1991 Apr;37:984-92.
The difficult asthmatic patient should first be managed by confirming the diagnosis and eliminating any aggravating environmental or occupational factors, including medication use. Proper treatment requires rational addition of drugs in a logical sequence. It is most important to ensure proper inhaler technique, patient compliance, effective doctor-patient communication, and proper patient monitoring.
对于棘手的哮喘患者，首先应通过确认诊断并消除任何加重的环境或职业因素（包括药物使用）来进行管理。适当的治疗需要按照合理的顺序合理添加药物。确保正确的吸入器技术、患者依从性、有效的医患沟通和适当的患者监测是最重要的。
