急性重症哮喘的临床特点和诊疗分析

Analysis of clinical characteristics and emergency treatment of patients with acute severe asthma

目的探讨重症哮喘的临床特点和急诊治疗的方法与临床疗效。方法对我院收治的35例重症哮喘患者的临床资料进行分析,总结重症哮喘的临床特点与急诊治疗方法。并观察对比患者治疗前后的生活质量。结果 35例重症哮喘患者经10～30 min急诊抢救处理后,憋喘、呼吸困难、气促、胸闷、紫绀等临床症状明显缓解,哮鸣音减少,缺氧症状显著改善。34例(97.14%)患者2周后病情稳定后出院,1例(2.86%)患者因年龄大,合并心肺等多器官功能衰竭,抢救无效而死亡。结论重症哮喘患者由于发病突然,病情多变,必须给予及时有效的急救治疗,以取得较好的临床治疗效果。

Objectives To investigate the clinical characteristics of acute severe asthma and the clinical effect and method of e- mergency treatment. Methods The clinical data of 35 patients with acute severe asthma treated were retrospectively analyzed to summa- rize its clinical characteristics and emergency treatment method. The life quality of patients was observed before and after the treatment. Results The clinical symptoms of choke, expiratory dyspnea, anhelation, choking sensation in chest and eyanosis were obviously im- proved after 10 -30 minutes＇ emergence treatment. 34 patients （97.14%） were discharged from hospital 2 weeks after the treatment, and 1 death （2. 86% ） reported because his old age and complications of heart and lung failure. Conclusion Because of sudden attack and various state of acute severe asthma, the patients with acute severe asthma should be given timely and effective emergency treatment （or re- ceiving better clinical curative effect.