1 病例简介患者男,43岁,有支气管哮喘病史3年。此次上呼吸道感染后出现喘息、咳嗽、不能平卧。住院留观察。查体:体温正常,呼吸较急,脉率90次/min,血压19/11kPa双肺满布哮鸣音,余(一)。诊断:支气管哮喘。为解除支气管痉挛,改善微循环血流,抗过敏,抗感染,在持续吸氧的同时静脉输脉通500ml、氨茶碱0.5g,地塞米松10mg。输液4～5分钟时,突然剧咳、憋气、高度气急、紫绀、昏迷。立即撤除脉通。患者神 1 case description Male patient, 43 years old, bronchial asthma history for 3 years. After the upper respiratory tract infection wheezing, cough, can not supine. Stay in hospital observation. Physical examination: normal body temperature, acute respiration, pulse rate 90 beats / min, blood pressure 19 / 11kPa lungs covered with wheezing, I (a). Diagnosis: Bronchial asthma. In order to relieve bronchial spasm, improve microcirculation, anti-allergy, anti-infection, continuous infusion of oxygen in the vein infusion of 500ml, aminophylline 0.5g, dexamethasone 10mg. Infusion 4 to 5 minutes, a sudden sudden cough, suffocation, high blood pressure, cyanosis, coma. Immediate withdrawal of pulse. Patient God