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慢性支气管炎(以下简称慢支)好发于老年人,据统计50岁以上的人发病率为15%或更多,在急性发作期,由于老人肺的特点,肾上腺皮质功能减退,营养摄入不足,感染的微生物复杂多变,常导致呼衰、心衰,病死率极高,应用糖皮质激素治疗慢支急发说法不一.丁东杰等在慢支发展为COPD时,应用激素有效率为18%左右.我们从1994年12月～1996年2月对35例慢支急发患者,在综合治疗基础上短期(5天)加用激素冲击治疗,并设对照组观察,发现有迅速改善症状,提高抢救成功率的效果.现介绍如下.
Chronic bronchitis (hereinafter referred to as chronic bronchitis) occurs in the elderly, according to statistics, the incidence of more than 50 years of age was 15% or more in the acute attack period, due to the characteristics of the elderly lungs, adrenal insufficiency, nutritional intake Insufficient, complicated and changeable infection of microorganisms, often lead to respiratory failure, heart failure, high mortality, the application of glucocorticoid treatment of chronic bronchitis different argument Ding Dongjie and other chronic bronchitis in the development of COPD, the application of hormone efficiency For about 18% .We from December 1994 to February 1996 in 35 cases of chronic bronchitis patients, on the basis of comprehensive treatment of short-term (5 days) plus hormone shock treatment, and the control group observed and found to have rapid Improve symptoms and improve the success rate of the rescue effect are as follows.