例1、女、64岁。主诉:反复发作咳嗽,气急10余年,近日症状加剧要求出诊。检查见患者气急,气促,呼吸7O次/分.不能平卧、烦躁、额部冒汗,面色轻度发绀,两肺有明显的干性罗音,心音低,规则,无明显杂音。系慢性支管炎、急性发作(哮喘型),当即给氨茶咸0.25克×10毫升加地塞米松5mg×1毫升加10%水合氯醛15毫升,保留灌肠,约5分钟后,自觉胸闷气急好转,于15分钟后气急明显好转而安静入睡,同时用青霉素、链霉素肌注,口服氨茶碱0.1克,非那根25毫克,1日3次,连用3天缓解。该患者以前气急发作应用氨茶碱加葡萄糖静注,气急虽能解除,但因用药后精神兴奋、呕吐、头昏等副作用而拒 Example 1, female, 64 years old. Chief Complaint: recurrent cough, shortness of breath more than 10 years, recently exacerbated the requirement for consultation. Check see the patient’s shortness of breath, shortness of breath, breathing 7O beats / min. Not supine, irritability, forehead sweating, pale cyanosis, lungs have obvious dry rales, low heart sounds, rules, no obvious noise. Department of chronic bronchitis, acute attack (asthma type), immediately give ammonia salty 0.25 grams × 10 ml plus dexamethasone 5mg × 1 ml plus 10% chloral hydrate 15 ml, retention enema, about 5 minutes later, conscious chest tightness, rapid improvement , 15 minutes after the sudden improvement in urgency and calm sleep, while penicillin, streptomycin intramuscular injection of aminophylline 0.1 g, 25 mg of non-root, 3 times a day, once every 3 days to ease. The patient had episodes of acute episodes of aminophylline plus glucose intravenous, although the relief of shortness of breath, but because of the use of drugs after the excitement, vomiting, dizziness and other side effects and refused