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我们采用大剂量氢溴酸东莨菪碱治疗8例重症支气管哮喘患者均获显效,现报告如下. 一、临床资料重症支气管哮喘8例,男2例,女6例;年龄36~68岁,哮喘发作史2~50岁.8例均表现为端坐呼吸,明显呼气性呼吸困难,吸气有三凹征,烦躁不安或萎糜嗜睡,大汗淋漓,重度紫绀和肺部广泛哮鸣音,1例伴意识障碍.血压平均为12/8k Pa,其中1例血压测不到.呼吸平均为30次/分,心率86~140次/分.全部病例经用一般常规治疗48小时后仍无效或撤减皮质激素过程中病情再度加剧者.
We use high-dose scopolamine hydrobromide treatment of 8 cases of patients with severe bronchial asthma were markedly effective, are as follows. First, the clinical data of 8 cases of severe bronchial asthma, 2 males and 6 females; aged 36 to 68 years old, history of asthma 2 to 50 years old .8 cases showed end-to-end breathing, significant expiratory dyspnea, inhalation with three concave sign, restlessness or milt lethargy, sweating, severe cyanosis and lung extensive wheeze, 1 case Accompanied by disturbance of consciousness.Animal blood pressure was 12 / 8k Pa, of which 1 case of blood pressure measured.A breath average of 30 beats / min, heart rate of 86 to 140 beats / min.All cases were still ineffective or withdrawal after 48 hours of conventional treatment Corticosteroids in the process of exacerbating the situation again.