THE CLINICAL SYMPTOMS OF INFANTS UNDER TWO YEARS OLD WHO WERE HOSPITALIZED BECAUSE OF BRONCHIAL ASTHMA OR ASTHMATIC BRONCHITIS
1993 Volume 7 Issue 3 Pages 94-101
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1993 Volume 7 Issue 3 Pages 94-101
In order to define the clinical symptoms of infant bronchial asthma or asthmatic bronchitis under two years old, we at first divided the infants who were under four years old and admitted to our hospital because of the illness from November 1986 to December 1989 into two groups. Group A consisted of 58 cases, and 45 infants who were under two years old. Group B were 80 cases, and 62 infants from two years old to four years old. And after that we compaired the clinical symptoms of the two Groups.
1) Severity of attack when hospitalized
The frequencies of moderate to severe attack of Group A and Group B were 44.8% and 61.2% respectively.
2) Admission term
The average admission period of Group A and Group B were 6.29 days and 5.33 days respectively. That of Group A was longer than that of Group B. (P<0.05)
3) Complications
The rates of complicated pneumonia and bronchopneumonia of Group A and Group B were 60.3% and 47.5% respectively. That of Group A was higher than that of Group B. (P<0.025)
4) The terms of treatments
The average treatment terms using β-adrenergic agonist inhalation of Group A and Group B were 5.59 days and 4.60 days respectively. (P<0.05)
5) The numbers of the cases in which steroid inhalation was necessary
The numbers of all cases of Group A and Group B were 16/58 and 6/80 respectively. The steroid using rate of Group A was higher than that of Group B. (P<0.01)
6) The numbers of the cases in which isoproterenol continuous inhalation was necessary
The numbers of all cases of Group A and Group B were 11/58 and 1/80 respectively. The isoproterenol inhalation required frequency of Group A was higher than that of Group B. (P<0.01) Group A were more frequently suffered from infection and required β-adrenergic agonist inhalation, isoproterenol continuous inhalation, or steroid inhalation than Group B. The admission term of Group A was longer than that of Group B. The severity of infant asthma or asthmatic bronchitis judged from clinical symptoms was apt to be underestimated.
