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儿童呼吸嘈杂:病史和临床表现蕴含许多病因线索。

Noisy breathing in children: history and presentation hold many clues to the cause.

作者信息

Pryor M P

机构信息

Pediatric Subspecialty Clinic, Park Nicollet Clinic, Minneapolis, MN 55404, USA.

出版信息

Postgrad Med. 1997 Feb;101(2):103-12. doi: 10.3810/pgm.1997.02.160.

DOI:10.3810/pgm.1997.02.160
PMID:9046929
Abstract

Evaluation of noisy breathing in children begins with careful history taking and physical examination focusing on the patient's age and the character of the noisy breathing. Establishing whether stridor, wheezing, rales, or a combination of these is present and whether the problem is acute or chronic can rule out certain disorders and suggest others. From this point, further diagnostic testing can be pursued and appropriate therapy initiated.

摘要

对儿童呼吸杂音的评估始于仔细的病史采集和体格检查,重点关注患儿的年龄以及呼吸杂音的特征。确定是否存在喘鸣、哮鸣、啰音或这些症状的组合,以及问题是急性还是慢性,可排除某些疾病并提示其他可能的疾病。据此,可进行进一步的诊断检查并启动适当的治疗。

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