急性危重型哮喘抢救的经验及教训(附39例报告)

目的：本文旨在探索急性危重型哮喘抢救的经验及教训。方法：观察并分析了３９例住院患者。结果：抢救成功３５例，成功率８９７％（３５／３９）；死亡４例，占同期住院哮喘患者的５１３％（４／８４）。结论：及时正确地评估病情，合理应用糖皮质激素等药物，适时建立人工通气等均是抢救成败的关键。而血糖浓度的监测对于指导糖皮质激素量的应用有一定的意义。

The experience and lessons to rescue the patients with acute severe asthma(Reports of thirty nine cases)

Objective:To expolore rescue experience and lessons in acute severe asthma.Methods:Date came from 39 cases hospitalized patients was observed and analysed.Results:35 cases was seccessful,the servival retes accounts for 89.7%(35/39);4 cases died,it accounts for 5.13%(4/84) at the hospitalized patients with asthma in the same term.Conclusion:The key to achieve seccess depends on how to estimate degree of an illness objectively;how to apply drug reasonably,such as glucocorticoid;how to set up artificial ventilation in suitable time,etc.It is significant in a certain extent that blood sugar was monitored to determine quantity of glucocorticoid was used.