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病例介绍 王某,女,40岁,有哮喘病史.因妇科疾患,口服消炎痛25毫克,5分钟后,即感憋气,呼吸困难,端坐呼吸、大汗淋漓,听诊两肺布满哮鸣音.给予氨茶碱注射液0.25克溶于5％葡萄糖液40毫升静推,无效.迅即给予地塞米松5毫克,溶于10％葡萄液100毫升中静滴,同时给持续低流量吸氧,20分钟后,患者咳出大量白色泡沫样痰,即感胸憋减轻,症状缓解. 讨论 支气管哮喘是一种变态反应性疾病,以发作性细支气管平滑肌痉挛而造成呼气性呼吸困难为特征,常呈慢性反复发作.
Case description Wang, female, 40 years old, history of asthma. Due to gynecological diseases, oral indomethacin 25 mg, 5 minutes later, that feeling suffocating, difficulty breathing, sitting and breathing, sweating, Tone given aminophylline injection 0.25 g dissolved in 5% glucose solution 40 ml static push, immediately dexamethasone 5 mg, dissolved in 10% of 100 ml of intravenous drip, while giving continuous low flow oxygen , 20 minutes later, the patient coughed up a lot of white foam-like sputum, that is, feeling chest reduced, symptom relief. Discussion Bronchial asthma is an allergic disease, characterized by episodic bronchiole smooth muscle spasm resulting in exhaled breathing difficulties , Often chronic recurrent.