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并非所有喘息都是哮喘或细支气管炎。

All that Wheezes is not Asthma or Bronchiolitis.

机构信息

Department of Pediatrics, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA.

Department of Pediatrics (Allergy and Immunology) and Medicine, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA.

出版信息

Crit Care Clin. 2022 Apr;38(2):213-229. doi: 10.1016/j.ccc.2021.11.002.

Abstract

Wheezing is a common finding across patients of all age groups presenting to the emergency department and being hospitalized for respiratory distress, with most patients responding to standard therapeutics and having readily apparent diagnoses of asthma or bronchiolitis. We describe several clinical entities that may present with wheezing and respiratory distress, calling attention to the broad differential that may masquerade as asthma or bronchiolitis, and potentially lead to misdiagnosis, delayed diagnosis, or inappropriate treatment.

摘要

喘息是在因呼吸窘迫而到急诊科就诊和住院的所有年龄段患者中常见的表现,大多数患者对标准治疗有反应,且具有明确的哮喘或细支气管炎诊断。我们描述了几种可能出现喘息和呼吸窘迫的临床实体,提醒注意可能伪装成哮喘或细支气管炎的广泛鉴别诊断,并可能导致误诊、延迟诊断或不适当的治疗。

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