以肺炎为临床表现的儿童哮喘29例临床分析

The clinical analysis of children asthma on 29 cases with pneumonia-like clinical manifestation

目的 :分析以肺炎为临床表现的儿童哮喘的临床特点。方法 :对 2 9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 2 0例 ,无明显喘息 9例。发作时肺部听诊单中小水泡音 2例 ,中小水泡音及干性罗音 15例 ,中小水泡音及少许哮鸣音 12例 ;症状体征于晨起至 1h后出现 ,持续数小时 ,逐渐减轻至消失 ,夜间无症状体征。 2 7.6 %有家族过敏史 ,6 .9%有家族哮喘史 ,17.2 %有个人过敏史。以后表现为典型哮喘发作占 2 5 .8%。肾上腺皮质激素及氨茶碱治疗有效。结论 :儿童哮喘中存在着肺炎型哮喘 ,应引起重视。

Objective :To analysis clinical feature of children asthma as Pneumonia clinical manifestation.Methods: Clinical datas were performed to summarize and to analyse on 29 cases Pneumonia-like asthma patients.Results: To show breaking out or persisting cough and fast breathing with longer time, sometimes appearing breather in 20 cases, no obvious breathing in 9 cases,when it showed effect, only medium rales and fine rales were heared in lungs in 2 cases, medium rales and fine rales and rhonchi were heared in 15 cases, medium rales and fine rales and a few sibilant rhonchi were heared in lungs in12 cases, symptom and sign appeared after morning get up from bed to one hour, continue several hours, gradually lighten to disappear,without symptom and sign at night. 27.6% patients had family allergy history, 6.9% patients had family asthma history, 17.2% patients had personal allergy history,later ,25.8% had typical asthma breaking out.corticosteroid and aminophylline are effective in treating the pneumonia-like asthma. Conclusion: In children asthma, existing pneumonia-like asthma ,must give riseing to attach.