儿童哮喘是否存在诊断不足和治疗不足的情况？
Is childhood asthma being underdiagnosed and undertreated?
作者信息
Speight A N
出版信息
Br Med J. 1978 Jul 29;2(6133):331-2. doi: 10.1136/bmj.2.6133.331.
Abstract
Thirty-four cases of asthma in children referred to outpatient clinics in Newcastle upon Tyne (16 cases) and London (18 cases) were reviewed. In both cities there was evidence of inappropriate diagnosis and treatment by general practitioners. One of the main factors seemed to be doctors' reluctance to use the word "asthma," even when a history of episodic wheezing strongly suggested the diagnosis. Freer use of the word "asthma" might help parents to co-operate in managing asthmatic children and allow them to be better prepared to cope with severe asthmatic attacks if they occur.
摘要
对转诊至泰恩河畔纽卡斯尔（16例）和伦敦（18例）门诊诊所的34例儿童哮喘病例进行了回顾。在这两个城市，都有全科医生诊断和治疗不当的证据。一个主要因素似乎是医生不愿使用“哮喘”这个词，即使发作性喘息病史强烈提示该诊断。更自由地使用“哮喘”这个词可能有助于家长配合管理哮喘儿童，并使他们在严重哮喘发作发生时能更好地做好应对准备。
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本文引用的文献
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