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本文报告5例哮喘持续状态病儿,并对其发病诱因,病理生理,治疗和预防作了扼要讨论。主要诱因有上呼吸道急、慢性感染,失水和入量不足使气道粘稠分泌物阻塞。治疗应以给氧、补液、消除烦躁和镇静。首选药氨茶硷静脉给药,如与吸入舒喘灵并用疗效更佳。哮喘持续状态病人应给予激素,它对消除支气管粘膜水肿和各种炎细胞的渗出及多种介质的释放,解除气道阻塞有良好的效果,有感染时应给予抗生索。并就预防哮喘持续状态的发生进行了讨论。
This article reports 5 cases of persistent asthma children, and its incidence of incentives, pathophysiology, treatment and prevention made a brief discussion. The main causes of upper respiratory tract irritation, chronic infection, dehydration and insufficient intake of airway viscous secretions blocking. Treatment should be oxygen, fluid, eliminate irritability and sedation. Preferred drug aminophylline intravenous administration, such as inhaled salbutamol with better efficacy. Persistent asthma patients should be given hormones, it is to eliminate bronchial mucosal edema and a variety of inflammatory cells and exudation of a variety of media release, relieve airway obstruction has a good effect, there should be given to the antibiotic resistance infection. And discussed the prevention of the persistence of asthma.