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成人哮喘患者常规入院胸部X光片的价值。

The value of routine admission chest radiographs in adult asthmatics.

作者信息

Aronson S, Gennis P, Kelly D, Landis R, Gallagher J

机构信息

Department of Ambulatory Care, Bronx Municipal Hospital, New York 10461.

出版信息

Ann Emerg Med. 1989 Nov;18(11):1206-8. doi: 10.1016/s0196-0644(89)80060-5.

Abstract

One hundred twenty-five consecutive admissions in 102 patients hospitalized for acute bronchospasm were studied to determine the need for routine admission chest radiography in asthmatics. Patients were categorized as complicated or uncomplicated asthmatics based on data recorded in the emergency department. Thirteen admission chest radiographs in 44 complicated asthmatics had an impact on management, whereas none of the 81 radiographs in the uncomplicated group affected patient care (P less than .001). Our study suggests that routine admission chest radiographs in uncomplicated asthmatics may be unnecessary.

摘要

对102例因急性支气管痉挛住院的患者连续125次入院情况进行了研究,以确定哮喘患者常规入院胸部X线检查的必要性。根据急诊科记录的数据,将患者分为复杂型或非复杂型哮喘患者。44例复杂型哮喘患者中有13次入院胸部X线检查对治疗有影响,而在非复杂型组的81次X线检查中,没有一次影响患者的治疗(P<0.001)。我们的研究表明,非复杂型哮喘患者常规入院胸部X线检查可能没有必要。

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