頁籤選單縮合
題名 | Management of Childhood Status Asthmatics=兒童重積氣喘狀態之處置 |
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作者姓名(中文) | 洪國欽; 楊崑德; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 5:1 2003.01[民92.01] |
頁次 | 頁55-64 |
分類號 | 417.5343 |
關鍵詞 | 氣喘重積狀態; 氣喘嚴重度; 氣喘處理流程; 危險因子; Status asthmaticus; Severity assessment; Management flow-chart; Risk factor; |
語文 | 英文(English) |
中文摘要 | 在世界各地,氣喘重積狀態之發生率已經隨著氣喘盛行而逐年增加。所謂氣喘重積狀態是氣喘患者表現出持續性呼吸窘迫的一種臨床狀態,在此狀態下對於原有支氣管擴張劑的治療通常沒有反應,也因此常導致較高的死亡率。然而,即使在非常嚴重的氣喘患者,若是能採取積極適當的處置,仍然可以挽救其寶貴性命。治療開始前的嚴重度評估是重要的,隨著嚴重度高低將採取不同的處理方法。在這同時,其他可能會引起呼吸窘迫的原因也要先予以排除,特別是在那些接受初步治療後仍然沒有改善的患者。除此之外,臨床醫師也必須要了解有哪些危險因子可能會使氣喘患者嚴重發作甚至致死,進而對於這類患者採取更加積極的治療方式。在本文中詳述了從初步評估、治療計劃、使用呼吸氣之適應症,到出院計劃一系列的治療流程。最後,氣喘患者的照顧上,除了適當的用藥及定期追蹤之外,還應該衛教患者使其有足夠的知識來自我評估與配合用藥,才能達到氣喘控制的目的。 |
英文摘要 | Prevalence of status asthmaticus in children has been increasing in the past decade. Status asthmaticus is a clinical condition and presents significant continual respiratory distress that is not responsive to bronchodilators. Status asthmaticus carries a significant risk of morbidity and mortality in the ICU. An aggressive management may rescue these patients, even the very-sick-appearing asthmatic child. Initially, assessment of asthma severity is important. Different management will be applied according to the severity. At the same time, other etiologies that can cause respiratory distress should be ruled out; in particular, for those patients who fail to respond to initial treatment. In addition, a physician should be aware of the risk factors of fatal asthma, and pay more attention to these high-risk patients. A treatment plan from initial assessment, therapeutic guidelines, and intubation indications to discharge plan is included in this article. Finally, self-assessments for appropriate medication and regular follow-up are the most efficient methods in asthma control. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。