Davis B, Gett P M, Jones E S
Thorax. 1980 Feb;35(2):111-3. doi: 10.1136/thx.35.2.111.
A service for 300 adult asthmatics is described. Since the service was started in 1970 only one death has occurred and this patient failed to comply with treatment or advice. Two patients required intermittent positive pressure ventilation. The success of the service is founded on two facts. Firstly, the natural history of life-threatening asthma usually allowed time to change treatment at home or in a clinic and this prevented the development of the severe grades. Secondly, the great majority of asthmatics could be taught how to recognise worsening of their asthma and to communicate with a doctor who then changed the treatment. An essential feature of the service is that the patients had at all times easy access to a doctor with appropriate knowledge and attitudes.
本文描述了一项针对300名成年哮喘患者的服务。自1970年该服务启动以来，仅发生过一例死亡，该患者未遵守治疗或建议。有两名患者需要间歇性正压通气。该服务的成功基于两个事实。首先，危及生命的哮喘的自然病程通常允许有时间在家中或诊所改变治疗方案，这预防了严重病情的发展。其次，绝大多数哮喘患者可以学会如何识别哮喘病情恶化，并与医生沟通，然后由医生改变治疗方案。该服务的一个基本特征是患者始终能够轻松联系到具备适当知识和态度的医生。
