小儿毛细支气管炎的四种表型  

Four Phenotypes of Bronchiolitis

作　　者：王华[1] 闫燕[1] 程士樟[1] 

机构地区：[1]黄山首康医院儿科,安徽省黄山市245000

出　　处：《中国全科医学》2011年第8期912-913,共2页Chinese General Practice

摘　　要：毛细支气管炎是婴幼儿时期常见的下呼吸道病毒感染性疾病,与日后出现反复喘鸣及哮喘密切相关。基于临床长期观察,将小儿毛细支气管炎归纳为4种不同的表型:早发型、喘息型、痰阻型和难治型。早发型发病年龄小易被忽视,喘息型喘憋症状明显且对药物治疗反应敏感,痰阻型喘息重经药物治疗效果不佳,难治型多合并基础疾病使治疗困难。因此,应根据不同临床特征进行相应的诊治。Bronchiolitis is a common viral respiratory tract infection in infants and children.It is closely related to repeated wheezing and asthma.Based on clinical long-term observation,bronchiolitis can be divided into four phenotypes：the early onset,the breathing,the phlegm obstruction and refractory.The early onset type is tend to be overlooked due to its young age of onset;the breathing type has obvious heavy breath and is sensitive to drug;the phlegm obstruction type has a very heavy wheeze and has a unsatisfactory outcome of drug treatment;the refractory type often is often combined with basic disease,making it hard to cure.Therefore,the treatment should be based on clinical features.

关 键 词：细支气管炎 婴儿 体征和症状 

分 类 号：R562.21[医药卫生—呼吸系统]