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[从童年到成年的心脏]

[CARD from childhood to adulthood].

作者信息

Gerritsen J, Koëter G H, Schouten J P, Postma D S, Roorda R J, van Aalderen W M, Knol K

机构信息

Afd. Kinderlongziekten, Kinderkliniek, Academisch Ziekenhuis, Groningen.

出版信息

Tijdschr Kindergeneeskd. 1990 Feb;58(1):44-8.

PMID:2180122
Abstract

In approximately 50 per cent of the children with asthma respiratory symptoms, these symptoms disappear during puberty. Outgrowing childhood asthma is especially estimated by: the degree of airway obstruction as a child, and the degree of bronchial hyperreactivity in childhood. Another childhood factor of influence on the prognosis of asthma seems to be the combined early and late bronchial response after inhalation of an allergen. Factors not predicting the outcome of childhood asthma are: at what age asthma symptoms started; whether the child with asthma had eczema or not, and how strong skin-allergy was. Conceivable risk-factors for the outcome of childhood asthma are: smoking of the parents and a strong degree of eosinophilia. The prognosis of asthma might be improved by more intensive treatment and continuity in treatment of the children with an increased risk.

摘要

在大约50%有呼吸道症状的哮喘儿童中,这些症状在青春期会消失。童年哮喘自愈尤其取决于:儿童时期气道阻塞的程度,以及童年时期支气管高反应性的程度。另一个影响哮喘预后的儿童因素似乎是吸入过敏原后早期和晚期支气管反应的综合情况。不能预测儿童哮喘预后的因素有:哮喘症状开始的年龄;患哮喘的儿童是否有湿疹,以及皮肤过敏的程度。儿童哮喘预后可能的风险因素有:父母吸烟和嗜酸性粒细胞增多的严重程度。对于风险增加的儿童,通过更强化的治疗和持续治疗可能会改善哮喘的预后。

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