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作者报道2例急性严重哮喘患者用常规的治疗、机械通气和氟烷未取得成功,而吸入乙醚后立即取得了支气管扩张的效果。例1:16岁男孩,哮喘病史4～5年,呼吸困难持续半小时,至急诊室时已呈濒死状态,严重紫绀,痛觉反应消失,仅有几次微弱呼吸。经插管和吸入100%氧,给予氢化可的松、氨茶碱、舒喘灵及肾上腺素治疗无任何好转,充气压力大于80cmH_2O,用2%氟烷加入氧气中吸入,仍无改善。重复动脉血气报告提示恶化,H~+173nmol/L,PCO_224.7kPa,碳
The authors report that two patients with acute severe asthma were treated with conventional therapy. Mechanical ventilation and halothane did not succeed, and bronchodilation was achieved immediately after inhalation of ether. Case 1: 16-year-old boy, history of asthma 4 to 5 years, breathing difficulties continued for half an hour, to the emergency room has been dying condition, severe cyanosis, pain reaction disappears, only a few faint breath. After intubation and inhalation of 100% oxygen, given hydrocortisone, aminophylline, salbutamol and epinephrine without any improvement in treatment, inflation pressure greater than 80cmH_2O, with 2% halothane added oxygen inhalation, still no improvement. Repeated arterial blood gas report prompted deterioration, H ~ + 173nmol / L, PCO_224.7kPa, carbon