CAJ | 학술논문

　　目的探讨3岁内婴幼儿喘息性疾病的临床特征。方法选择3岁以内反复喘息患儿150例，包括毛细支气管炎85例，婴幼儿哮喘32例，喘息性支气管炎30例，先天性喉喘鸣2例，支气管异物吸入1例。入院当日至第5天行外周血常规检测，并进行病原学检查。结果本研究中150例喘息患儿中感染合胞病毒、副流感病毒、腺病毒、鼻病毒及肺炎支原体的阳性率分别为32.67%、25.33%、8.00%、5.33%和4.67%。喘预测指数（API）阳性者58例，所有患儿中有132例患儿在3~10 d内症状缓解，其余19例未见好转，其中2例喘息症状加重，需进行进一步检查和治疗。结论临床上对于喘息患儿应当详细检查，反复治疗不佳后应当仔细查体，做出准确诊断。
　　목적탐토3세내영유인천식성질병적림상특정。방법선택3세이내반복천식환인150례，포괄모세지기관염85례，영유인효천32례，천식성지기관염30례，선천성후천명2례，지기관이물흡입1례。입원당일지제5천행외주혈상규검측，병진행병원학검사。결과본연구중150례천식환인중감염합포병독、부류감병독、선병독、비병독급폐염지원체적양성솔분별위32.67%、25.33%、8.00%、5.33%화4.67%。천예측지수（API）양성자58례，소유환인중유132례환인재3~10 d내증상완해，기여19례미견호전，기중2례천식증상가중，수진행진일보검사화치료。결론림상상대우천식환인응당상세검사，반복치료불가후응당자세사체，주출준학진단。
Objective To ivestigate the clinical features of wheezing in infants. Methods 150 cases with recurrent wheezing diagnosed as asthma were enrolled in this study,including 85 cases of bronchiolitis,32 cases of asthma,30 cases of asthmatoid bronchitis,cases of congenital laryngeal stridor and 1 case of bronchial foreign bodya spiration. The blood count was analyzed on 1 day and 5th day,and the pathogenic analysis was performed. Results In this study,150 cases of wheezing children were infected with syncytial virus,parainfluenza virus,adenovirus,rhinovirus and mycoplasma pneumoniae,with the positive rate of 32.67%,25.33 %,8.00%,5.33% and 4.67%,respectively. The number of patients with positive asthma predictive index(API) was 58. In all patients,132 cases with symptoms alleviate within 3-10 d,the rest of the 19 cases showed no improvement,among which 2 cases showed worse breathing symptoms,needing further examination and treatment. Conclusion For clinical wheezing children,a detailed inspection should be given,and the physical examination should be employed after repeated treatments to make an accurate diagnosis.