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目的探讨重症哮喘的诱因及救治方法。方法回顾分析30例住院重症哮喘的临床资料。在诱因中以肺部感染、感冒、突然停服激素及治疗不及时较多见,其他的有药物用量不足、脱水状态、刺激性气味、接触油漆、精神过度紧、并发肺不张、气胸及合并糖尿病、慢阻肺肺心病、肾功能不全。均予合理药物综合治疗、消除诱因。结果29例症状缓解,1例转院。结论准确评估病情,查明哮喘加重的诱因,及时综合治疗及消除诱因,适时行机械通气是提高抢救成功的关键。
Objective To investigate the causes and treatment of severe asthma. Methods Retrospective analysis of 30 cases of hospitalized severe asthma clinical data. In the incentive to lung infection, a cold, suddenly stop taking hormones and treatment is not timely more common, the other lack of medication, dehydration, irritating odor, exposure to paint, over-tight spirit, complicated by atelectasis, pneumothorax and Merged with diabetes, chronic obstructive pulmonary disease, renal insufficiency. All were to rational drug treatment, eliminate incentives. Results of 29 cases of remission, 1 case of transfer. Conclusion Accurate assessment of the disease, identify the causes of asthma exacerbations, timely comprehensive treatment and elimination of incentives, timely mechanical ventilation is the key to improve the success of the rescue.