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儿童哮喘:家庭医生的管理问题

Asthma in children: management issues for family doctors.

作者信息

Ahmed Shakeel, Ali Rehan, Qadir Maqbool, Humayun Khadija

机构信息

Department of Pediatrics and Child Health, The Aga Khan University Hospital, Stadium Road, 74800, Karachi Pakistan.

出版信息

Oman Med J. 2010 Oct;25(4):253-5. doi: 10.5001/omj.2010.76.

Abstract

Asthma is still one of the leading causes of morbidity in children. Despite the improved understanding in the disease pathogenesis and availability of the different classes of drugs, the incidence of emergency visits due to acute exacerbations and admission rates due to frequent and uncontrolled disease is fairly high. Management of bronchial asthma in children is quite different to that of adults. Although there are universal guidelines available for the management of childhood asthma, there is still confusion especially among the family physicians who are largely involved in the management of the children, both in acute exacerbations as well as in long term prevention. This article aims to simplify all the management issues for family physicians in concurrence with the available asthma management guidelines.

摘要

哮喘仍是儿童发病的主要原因之一。尽管对该疾病的发病机制有了更深入的了解,且有不同种类的药物可供使用,但因急性加重导致的急诊就诊率以及因疾病频繁发作且控制不佳导致的住院率仍相当高。儿童支气管哮喘的管理与成人有很大不同。虽然有通用的儿童哮喘管理指南,但仍存在困惑,尤其是在主要负责儿童管理(包括急性加重期和长期预防)的家庭医生中。本文旨在结合现有的哮喘管理指南,简化家庭医生面临的所有管理问题。

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