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目的探讨重症支气管哮喘的治疗方法,以提高该病的治疗效果。方法回顾性总结38例重症支气管哮喘患者的临床资料,分析其治疗经验与体会。结果38例患者经治疗12 h后哮喘缓解者25例,不缓解者13例。13例人工机械通气治疗患者,其中2例出现室性早搏,无一例出现严重低血压、气压伤、气胸。结论大剂量激素配合其他药物治疗可使哮喘症状得到有效缓解,机械通气是抢救危重哮喘的有效手段。
Objective To explore the treatment of severe bronchial asthma in order to improve the therapeutic effect of the disease. Methods The clinical data of 38 patients with severe bronchial asthma were retrospectively reviewed, and their treatment experience and experience were analyzed. Results Thirty-eight asthma relievers were treated in 38 patients 12 h after treatment, and 13 were not relieved. Thirteen patients underwent mechanical ventilation, two of whom had premature ventricular contractions, and none of them developed severe hypotension, barotrauma, and pneumothorax. Conclusion High-dose hormones combined with other drugs can effectively alleviate the symptoms of asthma. Mechanical ventilation is an effective means of rescue of critically ill asthma.