1　病例报告患者女 ,63岁。患支气管哮喘 2 0年 ,持续发作2 4ｈ入院。入院时张口呼吸 ,呼吸 3 6/ｍｉｎ ,心率1 4 8/ｍｉｎ ,血压 2 1 3 /1 2 6ｋＰａ。三凹征明显 ,口唇轻度紫绀 ,两肺闻及广泛的哮鸣音。使用各种抗炎、解痉药及激素治疗无效。次日 ,在心电监护下使用肾上腺 A case report patient female, 63 years old. Suffering from bronchial asthma 20 years, 24 hours continuous onset of admission. On admission, his mouth breathing, breathing 3 6 / min, heart rate 14 8 / min, blood pressure 2 1 3/1 2 6kPa. Three concave sign obvious, lips mild cyanosis, both lungs and widespread wheeze. Use a variety of anti-inflammatory, antispasmodic drugs and hormone therapy is invalid. The next day, use the adrenal gland under ECG monitoring