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目的 分析肺炎型哮喘的临床特点。方法 对23 例肺炎型哮喘患儿的临床资料进行总结分析。结果 均表现为较长时间发作性或持续性咳嗽、气促;有时出现喘息15 例,无明显喘息8 例;发作时肺部听诊单纯中小水泡音6 例,小水泡音1 例,中小水泡音及干性口罗音14 例,中小水泡音及少许哮鸣音2 例;症状体征于晨起半小时至1 小时后出现,持续数小时,遂后渐减轻至消失,夜间无症状体征。43-5% 有家族过敏史,8-7 % 有家族哮喘史,39-1 % 有个人过敏史,总IgE全部升高。以后表现为典型哮喘发作占39-1% 。肾上腺皮质激素治疗有效。结论 儿童哮喘中存在着肺炎型哮喘,应引起重视。
Objective To analyze the clinical features of pneumonia type asthma. Methods The clinical data of 23 children with pneumonia were summarized. The results showed a longer time episodes or persistent cough, shortness of breath; sometimes wheezing in 15 cases, no wheezing in 8 cases; onset of lung auscultation in the mere 6 cases of small blisters, small blisters in 1 case, small blisters sound And dry mouth rales in 14 cases, small and medium blisters and wheezing in 2 cases; symptoms and signs in the morning half an hour to 1 hour after the lasted for several hours, then gradually reduced to disappear, asymptomatic signs at night. 43-5% had a family history of allergy, 8-7% had a family history of asthma, 39-1% had a history of personal allergies, and a rise in total IgE. After the performance of the typical asthma attack accounted for 39-1%. Corticosteroid treatment effective. Conclusion There is pneumonia type asthma in children with asthma, which should be paid attention to.