儿童哮喘诊断和监测课件.ppt

* * * Slide 8. Onset of Symptoms in Children With Asthma More than 30% of children who experience respiratory symptoms by age 4 are diagnosed with asthma in childhood.7 Approximately 10% of young children are affected by asthma. Of these children, 30% will have an onset of symptoms within the first year of life.8 Approximately 50% of children with asthma experience symptom onset by age 2 years, and 70% do by age 3 years.9 但是如何才能尽早识别哮喘呢？难题在于确定哮喘真正的起病时间。 我们知道，大多数5岁以下儿童会出现反复发作的喘息，1年大概6-8次，通常还可能伴随着典型的病毒性上呼吸道感染。由于喘息在该年龄段儿童中具有较高的异质性，并非所有的喘息均会提示哮喘诊断，我们也难以确定伴随病毒感染的喘息是否就是哮喘的早期表现。 * * Inte