A study of acute asthma in the accident and emergency department

P Ebden , O.J. Cary , D. Quinton , J.B. Cookson
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引用次数: 24

Abstract

We have conducted a survey of all asthmatic patients seen at the Leicester Royal Infirmary Accident and Emergency Department during a 1-year period. A significantly greater number of patients were seen on Sundays and bank holidays. Wheeze was recorded in only 43% of the patients and there was no record of any nocturnal asthmatic symptoms. Peak expiratory flow rate was only recorded in 26% of patients before treatment with nebulized salbutamol (the commonest treatment). Pulse rate, respiratory rate, time of day or month did not determine whether or not a patient was admitted. We conclude that the education of junior doctors in the management of asthma is still deficient.

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急诊科对急性哮喘的研究
我们进行了一项调查所有哮喘患者看到在莱斯特皇家医院事故和急诊科在1年期间。周日和银行假日的患者数量明显更多。只有43%的患者有喘息的记录,并且没有任何夜间哮喘症状的记录。在雾化沙丁胺醇(最常见的治疗方法)治疗前,仅有26%的患者记录到了呼气流速峰值。脉搏率、呼吸率、一天或一个月的时间并不能决定患者是否住院。我们认为,初级医生在哮喘管理方面的教育仍然不足。
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