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感染性疾病

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呼吸性疾病季节到了
原作者: Jennifer Guyther,陈都译 发布日期:2015-03-02

Title: Respiratory season is here…
题目:呼吸性疾病季节到了
Author 作者: Jennifer Guyther
翻译:陈都 校对:肖锋

Now that respiratory season is upon us, we are faced with an increasing number of bronchiolitis children. The updated clinical practice guidelines for managing these kids were recently published and emphasize supportive care.
现在是呼吸性疾病的季节,细支气管炎的患儿数量增加。最近发表了更新后的儿童疾病临床指南,其强调了支持治疗的重要性。

Some of the key points:
要点如下:

-When clinicians diagnose bronchiolitis on the basis of history and physical examination, radiographic or laboratory studies should not be obtained routinely.
医师应该基于病史和体格检查诊断细支气管炎,不应该常规进行胸片或实验室检查。

-Medications such as albuterol, nebulized epinephrine or steroids should not be administered routinely in children with a diagnosis of bronchiolitis.
治疗药物比如沙丁胺醇,肾上腺素喷剂或激素不应该常规用于细支气管炎患儿。

-Nebulized hypertonic saline should not be administered to infants with a diagnosis of bronchiolitis in the emergency department
急诊细支气管炎婴儿不应该使用高渗盐水雾化。

-Clinicians may choose not to administer supplemental oxygen if the oxyhemoglobin saturation exceeds 90% in infants and children with a diagnosis of bronchiolitis
细支气管炎患者血红蛋白氧饱和度超过90%,医师可以不给氧疗。

-Clinicians may choose not to use continuous pulse oximetry for infants and children with a diagnosis of bronchiolitis.
医生可以不给细支气管炎患儿或者儿童进行连续的动脉氧合监测。

Check out the full guidelines for the quality of evidence and rational behind these recommendations.
审核指南的证据质量,理性对待这些治疗的理由。