幼儿反复喘息和咳嗽：是哮喘吗？
Recurrent wheeze and cough in young children: is it asthma?
作者信息
Ng Mark Chung Wai, How Choon How
机构信息
SingHealth Family Medicine Residency Programme, 3 Second Hospital Avenue, Singapore 168937.
出版信息
Singapore Med J. 2014 May;55(5):236-41. doi: 10.11622/smedj.2014064.
Abstract
A clinical diagnosis of asthma is often considered when a child presents with recurrent cough, wheeze and breathlessness. However, there are many other causes of wheeze in a young child. These range from recurrent viral infections to chronic suppurative lung disease, gastro-oesophageal reflux disease and rare structural abnormalities. Arriving at a diagnosis includes taking into consideration the symptomatology, triggers, atopic features, family history, absence of red flags and therapeutic trial, where indicated.
摘要
当儿童出现反复咳嗽、喘息和呼吸急促时，通常会考虑哮喘的临床诊断。然而，幼儿喘息还有许多其他原因。这些原因包括反复病毒感染、慢性化脓性肺病、胃食管反流病和罕见的结构异常。做出诊断需要考虑症状、触发因素、特应性特征、家族史、无警示信号以及在必要时进行治疗试验。
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