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目的总结老年重症支气管哮喘的诊治经验,提高临床治疗水平。方法通过对2008年12月至2011年12月收治的47例老年重症支气管哮喘的住院资料作回顾性分析总结。结果经抗感染,激素,β2受体激动剂,茶碱类以及机械通气等治疗措施,45例治愈,治愈率95.74%(45/47),2例死亡,死亡率6.26%(2/47);其中13例行无创正压面罩机械通气治疗,4例气管插管机械通气治疗,该17例患者中,15例经治疗后病情缓解,2例因多器官功能衰竭抢救无效死亡。结论对老年重症支气管哮喘及时准确评估病情,合理用药及机械通气等综合治疗措施是提高抢救成功率,促进康复的关键。
Objective To summarize the diagnosis and treatment of elderly patients with severe bronchial asthma and improve the clinical treatment. Methods A retrospective analysis was made on the hospitalization data of 47 elderly patients with severe bronchial asthma admitted from December 2008 to December 2011. Results The cure rate was 95.74% (45/47), 2 cases died and the death rate was 6.26% (2/47) after 45 cases were cured by anti-infective, hormone, β2 receptor agonist, theophylline and mechanical ventilation. Among them, 13 patients underwent mechanical ventilation with non-invasive positive pressure mask and 4 patients underwent mechanical ventilation with endotracheal intubation. Of the 17 patients, 15 were relieved after treatment and 2 died due to multiple organ failure. Conclusions Comprehensive and timely treatment of severe bronchial asthma in aged patients with acute bronchial asthma, comprehensive assessment of the disease, rational use of drugs and mechanical ventilation is the key to improve the success rate of rescue and promote rehabilitation.