32例急性重症支气管哮喘的治疗体会  

Treatment experience of 32 patients with acute severe asthma

作　　者：魏玉平[1] 蒋国华[1] 江雪红[1] 陈浩[1] 

机构地区：[1]皖南医学院非直属附属医院池州市人民医院呼吸内科,安徽池州247100

出　　处：《临床肺科杂志》2013年第3期498-499,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨急性重症支气管哮喘的最佳治疗效果。方法所有病例均采取内科常规治疗结合糖皮质激素静脉冲击治疗,合并呼吸衰竭者加用机械通气治疗。结果 32例患者中,31例完全缓解,1例死亡,死亡率为3.125%,其中18例药物保守治疗完全缓解,机械通气14例,其中1例死亡。结论重症支气管哮喘患者早期应给予足量糖皮质激素静脉冲击治疗联合内科常规治疗,如症状不能缓解应尽早采用机械通气治疗,这种综合治疗措施可以明显提高治疗的成功率,保证最佳治疗效果。Objective To explore the best treatment effect of patients with acute severe bronchial asthma. Methods All of the patients were given the conventional treatment combined with intravenous glucocorticoid pulse therapy, and the patients complicated with respiratory failure were treated with mechanical ventilation additinnally. Results In all of the 32 patients, 31 patients were completely re- mitted, and 1 patients reported dead. The mortality was 3. 125%. 18 cases were given expectant medical treatment and all were cured. 14 cases were treated with mechanical ventilation andl of them reported dead. Conclusion The patients with severe bronchial asthma should be given adequate intravenous glucocorticoid pulse therapy combined with the conventional treatment at the early stage. If the symptoms can not be alleviated the mechanical ventilation should be given as soon as possible. In this way, it can significantly improve the achieve- ment rate and ensure the best treatment effect.

关 键 词：急性重症哮喘 治疗措施 机械通气 

分 类 号：R562.25[医药卫生—呼吸系统]