海洛因依赖者并发急性支气管哮喘28例

目的··:总结海洛因依赖者在戒断过程中并发急性支气管哮喘的临床特点及治疗经验。方法··:对我院收治的500例戒毒者的资料进行回顾性分析。结果·· :有28例海洛因依赖者并发急性支气管哮喘 ,发生率为5.6%。其中轻度发作16例 (57% ) ;中度发作8例 (29 % ) ;重度发作3例 (11 % ) ;危重度发作1例 (3 % )。在有效脱毒的基础上行抗炎平喘治疗 ,轻度发作者多在6h之内哮喘缓解 ,中、重度发作者多在48h之内缓解 ,1例危重度发作者经常规治疗无效时im海洛因0.2g后哮喘症状迅速缓解。结论··:此类病人临床表现复杂多样 ,在积级有效的综合脱毒基础上行抗炎平喘治疗 ,控制症状较好

ANALYSISOF 28 HEROIN DEPENDENT PATIENTS COMBINED WITH ACUTE BRONCHITIS

Objective:To generalize the clinical characteristics and therapeutic experiences in heroin dependence patients concurrent with acute bronchitis during detoxification. Method : A retrospective analysis was carried out in 500 dependent patients. Result: Of the 500 patients, 28 cases(5.6 %) had acute bronchitis, which occurred together with heroin withdrawal symptoms.The number of light seizure, medium seizure, serious seizure and very serious seizure was 16 cases(57%),8 cases(29%), 3 cases (11%),1 case (3%) respectively. All cases underwent anti-inflamed and anti-asthmatic therapy on the basis of detoxification. Cases with light seizures relieved within 6 hours, medium and serious ones relieved within 48 hours, a very serious patient was administered heroin(0.2 g, im)when failed to relieve with routine therapy and quickly relieved.Conclusion: Anti-inflamed and anti-asthmatic therapy has a good efficacy on patients with concurrent heroin dependence and acute bronchitis during detoxification.