临床资料 40例慢阻肺病哮喘,均诊断为慢支、肺气肿,均以急性发作,咳嗽,咯脓痰,气喘、紫绀入院。观察组20例中,男14例,女6例,40～65岁,慢阻肺病史3～20年。对照组20例中男16例,女4例,45～70岁,慢阻肺病史3～25年。治疗方法两组均采用综合疗法,行抗菌,止咳,平喘,祛痰,吸氧。而观察组加用10％葡萄500ml、酚妥拉明20mg、多巴胺20mg、ATP40mg、辅酶A400单位,10％氯化钾10ml静滴,30滴/分,每日1次,7天为1疗程。疗效显效:咳嗽及紫绀消失,肺部干湿性罗音消失或明显减轻。观察组8例,对照组3例。有效:上述症状和体征好转或大部分减轻。观察组10例,对照组7例。无效:治疗前后病情无明显好转。观察组2例,对照组10例。两组对比,观察组疗效明显优于对照组。讨论支气管和肺动脉平滑肌上存在丰富的α受体和β受体。当α受体兴奋时,支气管和肺动脉平滑 Clinical data 40 cases of COPD asthma, were diagnosed as chronic bronchitis, emphysema, are acute attacks, cough, purulent sputum, asthma, cyanosis admission. Observation group of 20 cases, 14 males and 6 females, 40 to 65 years old, COPD history of 3 to 20 years. Control group of 20 patients, 16 males and 4 females, 45 to 70 years of age, COPD history of 3 to 25 years. Treatment Two groups were treated with integrated therapy, antibacterial, cough, asthma, expectorant, oxygen. The observation group plus 500ml of 10% grape, phentolamine 20mg, dopamine 20mg, ATP40mg, coenzyme A400 units, 10% potassium chloride 10ml intravenous drip, 30 drops / min, day 1, 7 days for a course of treatment. Effective effect: cough and cyanosis disappear, lung wet and dry rales disappeared or significantly reduced. 8 cases in the observation group and 3 cases in the control group. Effective: The above symptoms and signs improved or mostly relieved. 10 cases in the observation group and 7 cases in the control group. Invalid: no significant improvement before and after treatment. Observation group 2 cases, control group 10 cases. The two groups, the observation group was significantly better than the control group. Discussion Bronchial and pulmonary artery smooth muscle is rich in alpha and beta receptors. Bronchial and pulmonary arteries are smooth when the alpha receptors are excited