晚发老年性哮喘31例临床分析

Clinical analysis for 31 cases with senile bronchial asthma of late attack

目的 总结晚发老年性哮喘临床诊治特点。方法 分析 31例患者临床资料。结果 晚发老年支气管哮喘多有吸烟史、慢性支气管炎、慢性鼻炎史 ,合并症多 ,误诊率高 ,缓解期短 ,发作频繁 ,呼吸道感染为常见诱因 ,临床表现不典型 ,缓解期肺功能、胸片多不能恢复正常 ;治疗以吸入疗法为主 ,兼顾合并症 ,氧疗、家庭成员和护理人员健康教育尤为重要。结论 晚发老年支气管哮喘诊治有其特殊性。

Objective To conclude clinical characteristics of diagnosis and treatment for senile asthma of late attack.Methods Clinical data for 31 cases with senile asthma of late attack was analyzed.Results Most of the patients suffered from senile asthma of late attack had historis of smoking,chronic bronchitis and rhinitis,and had more complications,high rate of dis diagnosis,short relievable period and frequent attack.Respiratory tract infection was often inducement.The clinical menifestation was not typical.For most cases,lung function can not necover completely and thoracic film did not show very well in nelievable period.Inhalation was the main treatment.The complications should be trated also,oxygen treatment was necessary.Helath instiuction is important for family members and nursing staff.Conclusion The diagnosis and treatment is very special for the cases with senile bronchial asthma of late attack.