临床发现和急性支气管炎的严重程度
E K Mulholland1, A Olinsky, F A Shann
1Department of Microbiology, Royal Children's Hospital, Melbourne, Australia.
Lancet (London, England)
|May 26, 1990
概括
患有急性支气管炎的婴儿的裂和色与疾病严重程度相关. 脉冲氧计是初步评估的最佳方法,准确测量氧和度并预测氧气需求.
科学领域:
- 儿科 儿科 儿科
- 肺部病理学 肺部病理学
- 新生儿医学 新生儿医学
背景情况:
- 急性支气管炎是婴儿常见的呼吸道感染.
- 评估疾病严重程度对于适当的管理和预测结果至关重要.
- 临床迹象,如呼吸速率,裂和色,通常用于衡量严重程度.
研究的目的:
- 在患有急性支气管炎的婴儿中,将入院时的临床特征与疾病严重程度相关联.
- 评估呼吸速率和脉冲氧度对疾病严重程度和氧气需求的预测值.
主要方法:
- 研究了60名被诊断患有急性支气管炎的婴儿.
- 记录了临床特征,包括裂,色和呼吸速率.
- 通过动脉血液气体分析和脉冲氧计来评估疾病的严重程度.
主要成果:
- 裂纹和色与疾病严重程度和氧气需求密切相关.
- 呈现时的呼吸速率不能可靠地预测严重程度.
- 通过脉冲氧度测量皮肤间的血红蛋白氧和度,与色和最大氧气需求密切相关.
结论:
- 脉冲氧计是最有效的方法,用于初步评估婴儿急性支气管炎的严重程度.
- 蓝色症的临床迹象和裂的存在是严重程度和依赖氧气的重要指标.
更多相关视频
相关概念视频
Pulmonary Cycle: Exhalation
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Acute Respiratory Failure-IV
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
Asthma-III: Symptoms and Complications
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
Asthma III: Clinical Manifestations
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Obstructive Pulmonary Disease IV: Clinical Manifestations
Chronic Obstructive Pulmonary Disease, or COPD, is a long-term condition marked by persistent and only partially reversible airflow limitation. It involves two overlapping conditions—chronic bronchitis and emphysema—which often co-appear but differ in dominant symptoms and underlying mechanisms.Chronic Bronchitis FeaturesChronic bronchitis presents with a persistent productive cough and thick, sometimes purulent mucus due to airway inflammation, enlarged mucus glands, and goblet cell...


