高血压脑出血合并支气管哮喘急性发作的临床特点和对策

Clinical manifestation and management of asthma after hypertensive cerebral bleeding

目的 探讨高血压脑出血合并支气管哮喘急性发作的临床特点和治疗对策。方法 回顾分析我院所收治的 4 6例高血压脑出血合并支气管哮喘的患者的临床资料。结果 根据患者哮喘发作的轻重、呼吸功能的改变、伴发糖尿病和应激性溃疡等病变情况 ,积极抗感染 ,及时进行机械通气、经纤维支气管镜吸痰和利多卡因局部灌洗治疗。患者哮喘症状均得到缓解或控制 ,4 3例 (93 5 % )治愈出院 ,3例死于严重的心肾功能衰竭。结论 高血压脑出血患者中 ,肺部感染和反流性误吸为支气管哮喘急性发作主要诱因。加强抗感染 ,及时进行气管插管或机械通气 ,以及经纤维支气管镜吸痰和利多卡因局部灌洗治疗可有效控制哮喘发作。

Objective To study the clinical manifestation and management of the patients who suffering acute asthma after hypertensive cerebral bleeding.Methods Forty-six cases were analyzed retrospectively. Results According to the severity of asthma,we managef the patients with antibiotic therapy on the basic diseases such as hypertension,diabetes mellitus,gastrointestinal ulcer,and to the respiratory function mechanical ventilation,sputum suction via fiberoptic bronchoscopy and local ledocaine douche.All the symptoms were controlled,and 43 cases(93.5%)recoveried.Conclusion pulmonary infection and gastric regurgitation is the main causes to the asthma.The mechical ventilation,fibrobronchio-endoscopy accociated with local lidocaine lavage is efficient to the patients.