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流行性喘憋性肺炎(Epidemic asthmatic pne-umonia)曾有多种名称,如小儿喘憋性肺炎、流行性哮喘性肺炎、暴喘性肺炎、毛细支气管肺炎等,1977年在北京召开部分省市呼吸道疾病座谈会定为现名。本病多数由呼吸道合胞病毒(RSV)引起。发病急,流行广,进展快,临床以喘憋和发作性喘憋为特征。重型病例可死于严重并发症。该病病死率为0.14~1.7%,甚至达5%以上。笔者1992年用自拟中药处方,中西医结合治疗广东拱北地区流行性喘憋性肺炎60例,疗效明显。现报告如下。一、临床资料男42例,女18例。年龄3个月~2.5岁;其中1岁以内48例。来诊前未经特殊治疗。临床表现:多在短暂前驱期(无热或低热、喷嚏、流鼻涕、咳嗽)之后,迅即进入喘憋期,出现阵发性咳嗽、呼吸困难和缺氧等症状。肺部叩诊过清音,听诊有明显哮鸣音及中小水泡音;X线检查可见支气管周
Epidemic asthmatic pne-umonia has many names such as pediatric pneumonia, epidemic asthmatic pneumonia, asthmatic pneumonia, bronchial pneumonia, etc. In 1977, some provinces and cities were held in Beijing Respiratory disease symposium as the current name. Most of the disease caused by respiratory syncytial virus (RSV). Acute onset, popular, fast progress, clinical asthma and episodes of wheezing characterized. Heavy cases can die of serious complications. The case fatality rate was 0.14 ~ 1.7%, even up to 5% or more. The author in 1992 with self-prepared traditional Chinese medicine, traditional Chinese and western medicine treatment of epidemic pneumonia in Gongbei in Guangdong 60 cases, the effect is obvious. The report is as follows. First, the clinical data of 42 males and 18 females. Age 3 months to 2.5 years; 48 cases within 1 year of age. Before treatment no special treatment. Clinical manifestations: more in the short period of time before the prodromal (no heat or fever, sneezing, runny nose, cough), immediately into the wheezing period, paroxysmal cough, dyspnea and hypoxia and other symptoms. Percussion lungs were over voiceless, auscultation significant wheezing and small blisters sound; X-ray examination showed bronchial week