Hindi-Alexander M C, Middleton E
Allergy Division, Buffalo General Hospital, New York 14203.
N Engl Reg Allergy Proc. 1986 Sep-Oct;7(5):462-6. doi: 10.2500/108854186778984745.
Asthma deaths have increased 11% between 1979 and 1982. Asthma is not a terminal condition; therefore, by definition, many of these deaths are preventable. A literature survey indicates the major causes of death from asthma to be four: 1) delays in getting/receiving appropriate care, 2) medication misuse, underuse, overuse, interaction and toxic effects, 3) receiving inappropriate care: sedation, insufficient corticosteroids, and 4) other risk factors: nocturnal asthma/morning dippers, labile and hyperresponsive airways, and infection among others. Several possible preventive measures are discussed.
1979年至1982年间,哮喘死亡率上升了11%。哮喘并非绝症;因此,从定义上来说,这些死亡中的许多是可以预防的。一项文献调查表明,哮喘死亡的主要原因有四个:1)获得/接受适当治疗的延误,2)药物使用不当、使用不足、过度使用、相互作用及毒性作用,3)接受不适当治疗:镇静、皮质类固醇不足,以及4)其他风险因素:夜间哮喘/晨峰现象、气道不稳定和高反应性、感染等。文中讨论了几种可能的预防措施。