17例老年支气管重症哮喘临床分析

目的探讨老年重症支气管哮喘临床特点,分析其症状、并发症、及其治疗与转归。方法回顾性分析2008年12月到2012年12月我科收治的17例重症老年哮喘的临床资料。结果有患者均有明确的哮喘病史且在住院前均有喘息、呼吸困难、胸闷、大汗淋漓、面部或全身发绀等临床症状;分析诱因有13例为上或中呼吸道感染,有3例为过敏诱发,另有2例原因未明;17例患者中16例治愈,治愈率94.12%,1例死亡,死亡率5.88%。结论对及时抢救、采用以机械通气和药物的综合治疗是老年人重症支气管哮喘安全有效的治疗方法。

Objective Summary explore older people with severe bronchial asthma clinical characteristics, analysis of symptoms, signs, complications, pulmonary function and other clinical characteristics. Methotis Analyzed the clinical data from January 2009 to December 2012 in our hospital emergency department for treatment of 17 patients with severe senile asthma. Results Clinical symptoms of the patients had a clear history of asthma and in the hospital are wheezing, difficulty in breathing, chest tightness, sweating, facial or systemic eyanosis; analysis of incentives 13 eases or respiratory infections, three eases of allergic induce another two eases of unknown cause; 17 patients, 16 cases were cured, the cure rate was 94. 12% and deaths, a mortality rate of 5. 88%. Conclusion Timely rescue, the use of mechanical ventilation and drug treatment is the safety of older people with severe bronchial asthma treatment.