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本文报告2例急性严重哮喘患者经常规治疗、机械通气和氟烷无效,而改用二乙基乙醚吸入后,气道压下降,血气分析和临床表现均有明显改善。 病例1 男16岁因哮喘进入濒死状态入急诊室。既往哮喘史4～5年。入院前进行性呼吸困难已半小时。查体:濒死状态,重度紫钳,对疼痛刺激无反应,呼吸极度微弱。入院后给予插管,吸入纯氧,心电图示窦性心动过速,心率130/min。静脉注射氢化考地松500mg和缓慢注射氨茶碱250mg,经气管内插管给予舒喘灵总量3mg,皮下注射1:1000肾上腺素0.3ml。动脉血气分析H~+205mmol/L,PCO_216.2kpa,碳酸氢钠14.5mmol
This article reports two cases of acute severe asthma in patients with conventional treatment, mechanical ventilation and halothane ineffective, and switched to diethylether inhalation, airway pressure drop, blood gas analysis and clinical manifestations were significantly improved. Case 1 Male, 16 years old Into the emergency room due to asthma. Past history of asthma 4 to 5 years. Sexual dyspnea has been half an hour before admission. Physical examination: dying state, severe purple clamp, no response to pain stimulation, breathing extremely weak. Intubation after intubation, inhalation of pure oxygen, ECG showed sinus tachycardia, heart rate 130 / min. Intravenous injection of hydrocortisone 500mg and slow injection of aminophylline 250mg, endotracheal intubation give salbutamol total 3mg, subcutaneous injection of 1: 1000 epinephrine 0.3ml. Arterial blood gas analysis H ~ +205 mmol / L, PCO_216.2kpa, sodium bicarbonate 14.5mmol