急诊哮喘患者发作的原因及管理情况  

FACTORS INDUCING ASTHMA ATTACK IN 37 EMERGENT ASTHMATIC PATIENTS AND THEIR MANAGEMENT

作　　者：丁秀兰[1] 李文娟 何权瀛[2] 吴春波[1] 薛晓燕 曹宝平[1] 席小芳 张晓明[1] 楼滨城[1] 

机构地区：[1]北京医科大学人民医院急诊科,100044 [2]北京医科大学人民医院呼吸科,100044

出　　处：《北京医科大学学报》1997年第6期556-558,共3页Journal of Peking University(Health Sciences)

摘　　要：明确急诊哮喘患者哮喘发作或加重的原因，探讨哮喘病人的管理。方法：对急诊哮喘患者按照事先设计好的表格逐项登记调查分析。结果：诱发哮喘急性发作因素中上呼吸道感染居首位，既往一年内因哮喘急性发作急诊就诊者占22／37，住院者占8／37，哮喘发作后至就诊前普遍存在着用药不正规，哮喘急性发作至就诊时间为40min～5天（＞4h者占28／37），36例患者属重度哮喘。结论：应加强对哮喘病人的教育和管理。Objective: To identify factors triggering asthma or oggravating asthma in patients visiting Emergency Department of People's Hospital and find out ways of better management of asthmatic patients.Methods: Using itemized questionaire. Results: Upper airway infection is the primary factor inducing or aggravating asthma attack. In the past year 22/37 of patients visited emergency department and 8/37 of patients were hospitalized before seeing doctors. Most patients were treated unsatisfactorilly. The period between asthma onset and seeing the doctors lasted from 40 min to 5 days(28/37 were > 4 hours), 36 casesbelonged to severe asthma. Conclusion: Better education and management of asthmatic patients is indicated.

关 键 词：哮喘 病因学 流行病学 急症 

分 类 号：R562.250.2[医药卫生—呼吸系统]