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报告经面(鼻)罩双水平气道正压通气治疗24例重度哮喘发作患者,均经常规药物治疗患者呼吸困难、喘息状态不能缓解而应用辅助通气。24例中,20例经辅助通气治疗后喘息缓解。4例无改善,3例改为经鼻或口气管插管机械通气后缓解,1例拒绝插管死于呼吸衰竭。经面(鼻)罩压力支持辅助通气,操作方法简便,病员无痛苦,特别适合于经常规药物治疗和吸氧元缓解的重度哮喘发作患者。但对意识不清,伴有缺氧性精神错乱的危重型哮喘患者无明显疗效。
Reported by the mask (nasal) cover bi-level positive airway pressure treatment of 24 patients with severe asthma attacks, both conventional drug treatment of patients with dyspnea, wheezing can not be alleviated and the application of assisted ventilation. Of the 24 patients, 20 had wheezing relief after assisted ventilation. 4 cases without improvement, 3 cases changed to nasal or endotracheal intubation mechanical ventilation relief, 1 case refused to intubation died of respiratory failure. The surface (nasal) mask pressure support assisted ventilation, easy operation, patients with no pain, especially for patients with severe asthma by conventional drug treatment and oxygen mitigation. However, there is no significant effect on patients with critical asthma who are confused and have anaerobic disorders.