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首页> 外文期刊>The lancet. Respiratory medicine. >Happy wheezers, happy parents, and happy doctors?
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Happy wheezers, happy parents, and happy doctors?

机译：快乐的喘息者，快乐的父母和快乐的医生？

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摘要

Wheeze is common in young children.1 In this Comment, we summarise a practical approach to three recent papers on the topic. We also explore the extent to which doctors keep themselves and the families happy by treating a symptom without necessarily considering the scientific evidence. The most frequent picture of wheeze in young children is episodic viral wheeze, characterised by acute episodes of wheeze, cough, and breathlessness in association with a clinically diagnosed viral respiratory tract infection, with few or no interval symptoms. A few children have multiple trigger wheeze, which resembles asthma, with interval symptoms between acute episodes, triggered by cold air, activity, crying, and often with an atopic personal and family history. Overlaps can occur in individual children, which is indicative of the multifactorial nature of wheeze. Rarer specific disorders need to be excluded in the diagnostic approach.
机译：喘息在幼儿中很常见。1在本评论中，我们总结了针对该主题的三篇最新论文的实用方法。我们还探讨了在不考虑科学证据的情况下通过治疗症状使医生和家人幸福的程度。幼儿喘息最常见的情况是发作性病毒性喘息，其特征是喘息，咳嗽和呼吸困难的急性发作与临床诊断的病毒性呼吸道感染相关，很少或没有间歇性症状。一些孩子患有多发性喘息，类似于哮喘，在急性发作之间出现间歇性症状，由冷空气，活动，哭泣引起，并且经常具有特应性的个人和家族史。个别儿童可能发生重叠，这表明喘息的多因素性质。诊断方法中应排除较特殊的疾病。

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