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儿童哮喘:儿科急诊医学提供者指南

Childhood asthma: a guide for pediatric emergency medicine providers.

作者信息

Kline-Krammes Sarah, Patel Nirali H, Robinson Shawn

机构信息

Department of Emergency Medicine, Akron Children's Hospital, 1 Perkins Square, Akron, OH 44308, USA.

出版信息

Emerg Med Clin North Am. 2013 Aug;31(3):705-32. doi: 10.1016/j.emc.2013.05.001.

Abstract

Pediatric asthma is a disease that is managed across outpatient physicians, hospitalists, critical care physicians, and emergency department (ED) physicians. Scoring systems may facilitate a rapid assessment of the child with asthma in the ED. Short-acting beta agonists are still the mainstay of therapy for acute exacerbations along with corticosteroids and ipratropium bromide. ED providers must also know the indications for noninvasive ventilation and intubation. Most patients can be treated and discharged from the ED after acute exacerbation, and should be given a plan for going home that provides educational material and emergency scenarios to help prevent future acute incidents.

摘要

小儿哮喘是一种由门诊医生、住院医生、重症医生和急诊科医生共同管理的疾病。评分系统有助于在急诊科对哮喘患儿进行快速评估。短效β受体激动剂与皮质类固醇和异丙托溴铵仍是急性加重期治疗的主要药物。急诊科医护人员还必须了解无创通气和插管的适应证。大多数患者在急性加重期后可在急诊科接受治疗并出院,出院时应给予回家计划,提供教育资料和应急方案,以帮助预防未来的急性发作。

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