Rachelefsky G S, Siegel S C
J Allergy Clin Immunol. 1985 Sep;76(3):409-25. doi: 10.1016/0091-6749(85)90718-3.
The various features of bronchial asthma as it pertains to infants and children are reviewed. Childhood asthma ranks among the most common causes of ill health and creates a myriad of physical and emotional problems for the child. Rarely, it may lead to death. Various anatomic and physiologic differences in children account for the increased risk to symptomatic airway obstruction and poor response to bronchodilators. Other features of childhood asthma that differ from adult asthma including the prognosis, differential diagnosis, and complications are discussed. The authors' views of the general principles, specific therapy, pharmacologic measures, and a self-management intervention program for the management of the pediatric patient with asthma are presented.
本文综述了支气管哮喘在婴幼儿及儿童中的各种特征。儿童哮喘是最常见的健康问题之一,给儿童带来了诸多身体和情感问题。极少数情况下,它可能导致死亡。儿童在解剖学和生理学上的各种差异,导致其出现症状性气道阻塞的风险增加,以及对支气管扩张剂反应不佳。文中还讨论了儿童哮喘与成人哮喘不同的其他特征,包括预后、鉴别诊断和并发症。本文介绍了作者对于哮喘患儿管理的一般原则、具体治疗方法、药物治疗措施以及自我管理干预方案的观点。