急性重症支气管哮喘的治疗回顾  

Retrospective study on the treatment of severe asthma

作　　者：龙威[1] 陆刚[1] 谢娟[1] 陆伟[1] 张羽[1] 

机构地区：[1]复旦大学附属上海市第五人民医院急诊科,上海200240

出　　处：《中国综合临床》2008年第7期700-701,共2页Clinical Medicine of China

摘　　要：目的探讨急性重症支气管哮喘的治疗方法。方法回顾性分析我院急诊科收治的47例重症哮喘患者的药物及机械通气治疗情况。结果47例重症哮喘患者抢救成功45例，抢救成功率95.7％。治疗后动脉血气分析较治疗前明显改善（P〈0.01）。结论选择恰当的机械通气时机、方式及策略并尽早撤机，联合使用支气管舒张剂及糖皮质激素等药物，是急性重症支气管哮喘抢救成功的关键措施。Objective To evaluate the effect for the treatment of severe asthma, Methods The data of 47 patients with severe asthma who were admitted to emergency department were retrospectively anayzed, Results Of total 47 patients,45 were rescued, with the survival rate of 95.7 %, Arterial blood gas was improved after treatment （ P 〈 0.01 ）, Conclusion Appropriate commencement, mode, strategy, and early weaning of mechanical ventilation, combined with the administration of bronchodilators and corticosteroids are the important way to rescue patients with severe asthma.

关 键 词：支气管哮喘 机械通气 

分 类 号：R562.25[医药卫生—呼吸系统]