本研究根据Jenkins等1981年提出的预测急性重症哮喘病人的临床标准,分别在入院时和治疗后的6小时、48小时检测病人显效的快慢,并评价其准确性。患者54例(其中男12例),均系经一般治疗无效、最大呼气流速(PEFR)低于预计值的50%者。但除外吸烟史者和不可逆性气道阻塞者。入院时根据患者的临床和生理学特征分为快速显效、中速显效和缓慢显效3组,分组标准见附表。 According to Jenkins et al.’s clinical prediction of patients with acute severe asthma in 1981, this study tested the patients’ effective rates on admission and at 6 and 48 hours after treatment respectively, and evaluated their accuracy. 54 patients (including 12 males) were all treated by general treatment, the maximum expiratory flow rate (PEFR) was lower than 50% of the expected value. However, except for those with a history of smoking and irreversible airway obstruction. Admission based on clinical and physiological characteristics of patients were divided into fast effective, moderately effective and slow markedly effective 3 groups, grouping standards see the attached table.