Hobday J D
Aust Fam Physician. 1978 Feb;7(2):185-9.
Children present a special problem, as the morbidity from asthma is high. Deaths occasionally occur. Evaluation of frequency and severity is mandatory in designing therapy. Adequate theophylline dosage is an effective bronchodilator. Nebulized salbutamol is a great advantage in moderate and moderately severe asthma because of its speed, ease of administration and effectiveness. Intravenous salbutamol is a considerable advance in the treatment of severe asthma. The use of nebulized Intal makes this drug available to the younger child for prophylaxis. Effective prophylactic long term management must include an environmental evaluation including detection of allergens and, if possible their removal, and the evaluation of physical pulmonary trigger factors and attention to emotional physical health.
儿童存在特殊问题，因为哮喘发病率很高。偶尔会发生死亡。在设计治疗方案时，对发病频率和严重程度进行评估是必不可少的。适当的茶碱剂量是一种有效的支气管扩张剂。雾化沙丁胺醇在中度和中度重度哮喘治疗中具有很大优势，因其起效迅速、给药方便且效果显著。静脉注射沙丁胺醇是重度哮喘治疗的一项重大进展。雾化吸入色甘酸钠使该药物可用于年幼儿童的预防。有效的长期预防性管理必须包括环境评估，包括检测过敏原，如有可能将其清除，评估肺部物理触发因素，并关注情绪和身体健康。
