摘要
年长儿与成人期的支气管哮喘(哮喘)的诊断并不难,但幼儿期哮喘由于其特殊的生理解剖和免疫特点,并且致喘因素复杂,容易导致诊断不足或过度诊断。目前关于幼儿期哮喘的诊断在全球范围内仍然没有统一的标准,一直是儿科医学界的难点和热点问题。文章总结了幼儿期哮喘诊断的历程及概念,分析幼儿气道生理解剖免疫及临床特点,综合近年来GINA及各国指南对幼儿喘息的诊断观点,探讨幼儿期哮喘的临床特点及诊断策略,以期引起更广泛的关注。
It is a difficult task to make accurate diagnosis of asthma in younger children due to their special physiological function and immature immune systems. So far, the diagnosis of asthma in young children remains a big challenge to clinicians. This review summarized the development of diagnostic criteria of asthma and analyzed the anatomical and physiological features of airway in young children. Guidelines from GINA and many countries were also incorporated in this review. The objective of this review is to explore the clinical features and diagnostic strategy, and to improve the diagnosis and management of asthma in this population.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2008年第2期157-160,共4页
Journal of Clinical Pediatrics
关键词
支气管哮喘
临床特点
幼儿期
诊断
asthma
clinical features
young children
diagnosis
