A CLINICAL ANALYSIS OF THE CHILDREN ASTHMA MAINLY APPEARED AS CHEST DISTRESS

Zhou W, Li MZ

Department of Pediatrics, The Third Hospital, Peking University, Beijing, China

Objective: Get a clear understanding of the clinical manifestation of children asthma and its early symptoms, reduce the rate of misdiagnosis, and promote the rate of diagnose.

Method: Make an observation of 114 patients of children asthma for 24 months, with an average age of 8.92. Among them, there were 74 males and 40 females. Analyze their early symptoms, and monitor their PEF.

Result: Among the 114 patients, 49 (43%) of them suffered from chest distress, and 21 patients did not have wheezing when they first came to the hospital. The rising IgE and falling PEF were common phenomena for all the 114 patients, who clearly became better after the use of b₂-agonist and anti-allergy treatment. During the 24 months observation, only 16 of the 21 finally had wheezing, and 5 did not show wheezing till the very end.

Conclusions: According to the analysis above, we can tell that chest distress can be regarded as one of the main symptoms of children asthma and if can be ignored easily. Children asthma with pure symptom of chest distress can be named as chest distress variant asthma. Its main characteristics are repeated chest distress, an unnecessary wheezing, a rising IgE,a falling PEF, an allergy history, a family history and a positive result of bronchiectasis test. A timely diagnosis and treatment can prevent the patients' condition from worsening.

0585