{"id":108,"date":"2023-01-12T09:43:39","date_gmt":"2023-01-12T01:43:39","guid":{"rendered":"https:\/\/webdept.fjuh.fju.edu.tw\/FjuhDep\/ped\/?p=108"},"modified":"2023-01-12T10:00:39","modified_gmt":"2023-01-12T02:00:39","slug":"%e5%85%92%e7%ab%a5%e6%b0%a3%e5%96%98%e7%99%bc%e4%bd%9c","status":"publish","type":"post","link":"https:\/\/webdept.fjuh.fju.edu.tw\/FjuhDep\/ped\/2023\/01\/12\/%e5%85%92%e7%ab%a5%e6%b0%a3%e5%96%98%e7%99%bc%e4%bd%9c\/","title":{"rendered":"\u5152\u7ae5\u6c23\u5598\u767c\u4f5c"},"content":{"rendered":"\t\t
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\u5152\u7ae5\u6c23\u5598\u767c\u4f5c<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\u9673\u5efa\u7ff0
\n\u8f14\u5927\u91ab\u9662.\u5152\u7ae5\u91ab\u5b78\u90e8\u4e3b\u4efb
\n\u8f14\u5927\u91ab\u5b78\u9662.\u91ab\u5b78\u7cfb\u52a9\u7406\u6559\u6388<\/a><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u00a0 \u00a0 \u00a0 \u00a0 \u5bb6\u4e2d\u82e5\u6709\u5b69\u5b50\u7f79\u60a3\u6c23\u5598\uff0c\u9664\u4e86\u9700\u6ce8\u610f\u74b0\u5883\u904e\u654f\u539f\u7684\u63a7\u5236\u4ee5\u53ca\u6309\u6642\u7528\u85e5\u4e4b\u5916\uff0c\u5bb6 \u9577\u9084\u5fc5\u9808\u4e86\u89e3\u5982\u4f55\u5224\u65b7\u5b69\u5b50\u6709\u7121\u6c23\u5598\u767c\u4f5c\uff0c\u624d\u4e0d\u6703\u803d\u8aa4\u4e86\u6cbb\u7642\u7684\u6642\u6a5f\u3002
\u00a0 \u00a0 \u00a0 \u00a0 \u6c23\u5598\u767c\u4f5c\u6307\u7684\u662f\u547c\u5438\u9053\u75c7\u72c0\u9010\u6b65\u60e1\u5316 (\u5305\u62ec\u547c\u5438\u6025\u4fc3\u3001\u54b3\u55fd\u3001\u5598\u9cf4\u8072\u3001\u6216\u80f8\u60b6) \u53ca\u80ba\u529f\u80fd\u9010\u6f38\u964d\u4f4e\uff0c\u8db3\u4ee5\u5f15\u8d77\u547c\u5438\u56f0\u96e3\u6216\u7a98\u8feb\uff0c\u4e26\u9700\u8981\u4f7f\u7528\u6025\u6027\u7de9\u89e3\u85e5\u7269\u624d\u80fd\u7de9 \u89e3\u7684\u72c0\u6cc1\u3002<\/h4>

\u8a98\u767c\u6c23\u5598\u767c\u4f5c\u7684\u56e0\u7d20\u5305\u62ec
(1) \u75c5\u6bd2\u611f\u67d3 (2) \u904e\u654f\u539f (\u5875\u8e63\u3001\u9ef4\u83cc\u3001\u82b1\u7c89\u7b49) (3) \u4e8c\u624b\u7159\u53ca\u7a7a\u6c23\u6c59\u67d3 (4) \u5b63\u7bc0\u4ea4\u66ff (5) \u5287\u70c8\u904b\u52d5 (6) \u51b0\u51b7\u7684\u98f2\u98df (7) \u98df\u7269\u904e\u654f (8) \u672a\u898f\u5247\u4f7f\u7528\u5438\u5165\u578b\u985e\u56fa\u9187<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u5c0f\u5152\u6c23\u5598\u5c08\u79d1\u91ab\u5e2b\u6703\u6309\u5e74\u9f61\u4f9d\u7167\u4ee5\u4e0b\u4e0d\u540c\u65b9\u5f0f\u8a3a\u65b7\u5152\u7ae5\u6c23\u5598\u767c\u4f5c:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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(1) \u5e74\u9f61 6 \u6b72\u4ee5\u4e0a:\u6709\u983b\u7e41\u7684\u6c23\u5598\u76f8\u95dc\u547c\u5438\u9053\u75c7\u72c0\u6216\u80ba\u529f\u80fd\u964d\u4f4e\uff0c\u5373\u53ef
\u8a3a\u65b7\u6c23\u5598\u767c\u4f5c\u3002\u80ba\u529f\u80fd\u6703\u4ee5\u7576\u4e0b\u6578\u503c\u4f54\u5176\u9810\u6e2c\u503c\u6216\u500b\u4eba\u6700\u4f73\u503c\u7684\u767e\u5206\u6bd4
\u4f86\u5224\u65b7\uff0c\u4f8b\u5982\u5c16\u5cf0\u5410\u6c23\u6d41\u91cf (peak expiratory flow)\u5f9e 90%\u6389\u5230 80%\u4ee5\u4e0b\u3002
\u81e8\u5e8a\u5be6\u52d9\u4e0a\u4e5f\u5e38\u4ee5\u547c\u5438\u56f0\u96e3\u52a0\u4e0a\u5598\u9cf4\u8072\u4f86\u8a3a\u65b7\u6c23\u5598\u767c\u4f5c\u3002
(2) \u5e74\u9f61\u672a\u6eff 6 \u6b72:\u9019\u500b\u5e74\u9f61\u65cf\u7fa4\u7684\u5e7c\u7ae5\u7121\u6cd5\u4f9d\u7167\u6307\u4ee4\u5439\u6c23\uff0c\u6e2c\u91cf\u4e0d\u51fa
\u80ba\u529f\u80fd\uff0c\u56e0\u6b64\u53ea\u80fd\u4ee5\u75c7\u72c0\u6216\u5fb5\u5146\u4f86\u8a3a\u65b7\uff0c\u4f8b\u5982\u807d\u8a3a\u807d\u5230\u5598\u9cf4\u8072\u3002\u6c23\u5598\u767c
\u4f5c\u7684\u5e7c\u7ae5\u5728\u521d\u671f\u5e38\u6703\u5408\u4f75\u6709\u4ee5\u4e0b\u591a\u500b\u75c7\u72c0:
1) \u6709\u547c\u5438\u9053\u611f\u67d3\u7684\u75c7\u72c0
2) \u54b3\u55fd\u8b8a\u591a\uff0c\u5c24\u5176\u662f\u591c\u665a\u719f\u7761\u6642\u4e5f\u5728\u54b3
3) \u5598\u9cf4\u8072\u6216\u54bb\u54bb\u8072\u6108\u4f86\u6108\u660e\u986f
4) \u547c\u5438\u6025\u4fc3\u6216\u547c\u5438\u56f0\u96e3
5) \u767d\u5929\u660f\u7761
6) \u904b\u52d5\u5fcd\u53d7\u5ea6\u964d\u4f4e\uff0c\u4f8b\u5982, \u672c\u4f86\u53ef\u8dd1\u64cd\u5834 2 \u5708\uff0c\u73fe\u5728\u53ea\u80fd\u8dd1\u534a\u5708
7) \u65e5\u5e38\u6d3b\u52d5\u53d7\u640d\uff0c\u5305\u62ec\u5b30\u5e7c\u5152\u7684\u559d\u5976
8) \u5c0d\u7de9\u89e3\u85e5\u7269\u7684\u53cd\u61c9\u5dee<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u5152\u7ae5\u6c23\u5598\u767c\u4f5c\u4f9d\u7167\u4e0d\u540c\u5e74\u9f61\u5c64\u6703\u6709\u4e0d\u540c\u7684\u56b4\u91cd\u5ea6\u5340\u5206\u65b9\u5f0f\uff0c\u5982\u4e0b\u6240\u8ff0:\n \u5e74\u9f61 6 \u6b72\u4ee5\u4e0a :<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u5e74\u9f61\u672a\u6eff 6 \u6b72 :<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u4e00\u822c\u800c\u8a00\uff0c\u6211\u5011\u6703\u4f9d\u7167\u5152\u7ae5\u6c23\u5598\u767c\u4f5c\u7684\u5e74\u7d00\u53ca\u56b4\u91cd\u7a0b\u5ea6\u7d66\u4e88\u4e0d\u540c\u6cbb\u7642\u3002
\u6cbb\u7642\u4e3b\u8981\u5206\u70ba\u4ee5\u4e0b\u5e7e\u5927\u985e 1-4:
(1) \u6c27\u6c23: \u8996\u60c5\u6cc1\u4f7f\u7528\u6c27\u6c23, \u4ee5\u7dad\u6301\u8840\u6c27\u6fc3\u5ea6\u5728 94-98%\u3002
(2) \u5438\u5165\u77ed\u6548\u4e59\u4e8c\u578b\u6d3b\u5316\u5291: \u76ee\u7684\u5728\u64f4\u5f35\u6c23\u7ba1\uff0c\u8f15\u5ea6\u3001\u4e2d\u5ea6\u3001\u53ca\u91cd\u5ea6\u6c23
\u5598\u767c\u4f5c\u8005\u7686\u61c9\u4f7f\u7528\u3002\u7b2c\u4e00\u5c0f\u6642\u6bcf 20 \u5206\u9418\u5438\u4e00\u6b21\uff0c\u7121\u7de9\u89e3\u8005\u53ef\u7d66\u5230\u4e09
\u6b21\u3002
(3) \u5438\u5165\u6297\u81bd\u9e7c\u85e5\u7269: \u76ee\u7684\u4e5f\u662f\u64f4\u5f35\u6c23\u7ba1\uff0c\u5c0d\u8c61\u70ba\u4e2d\u5ea6\u53ca\u91cd\u5ea6\u6c23\u5598\u767c\u4f5c
\u8005\u3002\u7b2c\u4e00\u5c0f\u6642\u6bcf 20 \u5206\u9418\u4e00\u6b21\uff0c\u6700\u591a 3 \u6b21 (\u4e00\u5c0f\u6642)\u3002
(4) \u985e\u56fa\u9187: \u975c\u8108\u6ce8\u5c04\u6216\u53e3\u670d\u7686\u53ef\uff0c\u4f7f\u7528\u6642\u6a5f\u5982\u4e0b:
1) \u56b4\u91cd\u6c23\u5598\u767c\u4f5c\u8005
2) \u8f15\u5fae\u6216\u4e2d\u5ea6\u767c\u4f5c\uff0c\u4f46\u6bcf 20 \u5206\u9418\u5438\u5165\u77ed\u6548\u4e59\u4e8c\u578b\u6d3b\u5316\u5291\u6eff\u4e09\u6b21(\u4e00
\u5c0f\u6642)\u5f8c\u4ecd\u672a\u6539\u5584\u8005
3) \u8f15\u5fae\u6216\u4e2d\u5ea6\u767c\u4f5c\uff0c\u5438\u77ed\u6548\u4e59\u4e8c\u578b\u6d3b\u5316\u5291\u4e09\u6b21(\u4e00\u5c0f\u6642)\u4e4b\u5167\u5c31\u6539
\u5584\uff0c\u4f46 3~4 \u5c0f\u6642\u5167\u53c8\u5fa9\u767c\u8005
\u51fa\u73fe\u4ee5\u4e0b\u5fb5\u5146\u6642\uff0c\u91ab\u5e2b\u6703\u8003\u616e\u5c07\u6c23\u5598\u767c\u4f5c\u7684\u5152\u7ae5\u8f49\u5165\u52a0\u8b77\u75c5\u623f :
(1) \u6cbb\u7642\u5f8c\u4ecd\u5448\u73fe\u767c\u7d2b\u72c0\u6cc1\u6cbb\u7642\u5f8c\u4ecd\u6709\u56b4\u91cd\u7684\u547c\u5438\u6025\u4fc3\u547c\u5438\u52d5\u4f5c\u5df2\u75b2\u618a\u7121
\u529b\uff0c\u5c0e\u81f4\u5410\u6c23\u671f\u5ef6\u9577 (\u6b64\u6642\u53cd\u800c\u547c\u5438\u901f\u7387\u4e0b\u964d\u81f3\u6b63\u5e38\u6216\u504f\u4f4e)\uff0c\u7121\u6cd5\u6b63\u5e38
\u63db\u6c23\u5b89\u975c\u7121\u8072\u7684\u7684\u80ba\u90e8\u610f\u8b58\u6539\u8b8a (\u56f0\u60d1\u6216\u660f\u7761)\u6cbb\u7642\u5f8c\u8840\u6c27\u6fc3\u5ea6\u4ecd < 90%
(7) \u6cbb\u7642\u5f8c\u52d5\u8108\u8840\u7684\u4e8c\u6c27\u5316\u78b3\u5206\u58d3\u4ecd \u226545 mmHg<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
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\u53c3\u8003\u6587\u737b
1. Global Initiative for Asthma. Global strategy for asthma management and
prevention. 2020.
2. Scarfone RJ. Acute asthma exacerbations in children younger than 12 years:
Emergency department management. UpToDate 2020.
3. Sawicki G, Haver K. Acute asthma exacerbations in children younger than 12
years: Inpatient management. UpToDate 2020.
4. World Health Organization. Chaper 4: Sources and delivery of oxygen. Oxygen
therapy for children: a manual for health workers 2016.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

\u5152\u7ae5\u6c23\u5598\u767c\u4f5c \u9673\u5efa\u7ff0 \u8f14\u5927\u91ab\u9662.\u5152\u7ae5\u91ab\u5b78\u90e8\u4e3b\u4efb \u8f14\u5927\u91ab\u5b78\u9662.\u91ab\u5b78\u7cfb\u52a9\u7406\u6559\u6388 \u00a0 \u00a0 \u00a0 \u00a0 \u5bb6\u4e2d\u82e5\u6709\u5b69\u5b50\u7f79\u60a3\u6c23 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