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小兒氣喘猝死:一病例報告

Sudden Death in Childhood Bronchial Asthma: Report of One Case

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摘要


小兒支氣管性氣喘之死亡病例極為罕見,其中猝死者更是少見。本文報告一位八歲男童,自五歲時即常有氣喘發作,嚴重時,則服用β2-agonist及Aminophylline。病童上學情況不錯,於死亡前兩天,氣喘發作,經口服藥物控制,症狀減輕,死前當日並無異狀,於下午約五時左右,病童正在看電視,突然從電視機前跳起,倒地後嘴唇發紺,呼吸停止,於送到本院時,瞳孔放大,對光無反應,呼吸及心跳均已停止,經急救後使用呼吸器三小時後,不治死亡。

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並列摘要


Sudden death from childhood bronchial asthma is very rare in Taiwan. This is a case report of an eight-year-old boy who had been a victim of bronchial asthma since age five. He attained school regularly. Two days before death, he suffered from dyspnea, but the symptoms were relieved by oral drugs of β2-agonist and aminophylline. The drugs usually administered when he had attacks. Unfortunately he jumped and fell when he watched TV with his family at about 5 o'clock in the afternoon. He was cyanotic with apnea. He expired in spite of cardiopulmonary resuscitation for three hours in our hospital.

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