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[2岁以下儿童的支气管哮喘]

[Bronchial asthma in children under 2 years of age].

作者信息

Girardi Briere G, Quezada Lagos A, Zúñiga Pacheco J, Arriagada Labbe A

出版信息

Bol Med Hosp Infant Mex. 1979 Jul-Aug;36(4):679-87.

PMID:465176
Abstract

Bronchial asthma is defined and some basic physiopathological phenomena are quoted. The most important facts leading to the investigation and the possibility of establishing the diagnosis of bronchial asthma in infants are mentioned. 61 children under 2 years of age who had been taken for consultation to the Bronchial Pulmonary Disease Department of the Exequiel González Cortés Hospital and the Child Medical Institute were analyzed in connection with the contribution of the anamnesis, physical check-up and the laboratory test to the diagnosis of the bronchial asthma. The following items are emphasized: value of the clinical history, the clinical test of total reversability of bronchial obstruction to (towards) adrenaline and the esoinophil count in bronchial secretion, and the skin test in children over 12 months of age. The conclusion is that it is possible to diagnose bronchial asthma in the child under two years old through simple, specific methods in any medical center with minimal equipment.

摘要

文中对支气管哮喘进行了定义,并引用了一些基本的生理病理现象。文中提到了引发对婴儿支气管哮喘进行调查及确诊可能性的最重要因素。结合病史、体格检查及实验室检查对支气管哮喘诊断的作用,对61名2岁以下曾到埃克西奎尔·冈萨雷斯·科尔特斯医院支气管肺病科和儿童医学研究所就诊咨询的儿童进行了分析。文中强调了以下几点:临床病史的价值、支气管阻塞对肾上腺素完全可逆性的临床测试、支气管分泌物中的嗜酸性粒细胞计数,以及12个月以上儿童的皮肤试验。结论是,在任何设备简陋的医疗中心,通过简单、特定的方法就有可能诊断2岁以下儿童的支气管哮喘。

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