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据报道,支气管哮喘突然死亡的原因有:①所有的小支气管被粘稠的痰液所阻塞;②儿茶酚胺过量所致的心内膜下心肌坏死;③催眠药物过量。例1:男,64岁。患者9年前始有支气管哮喘发作,其后逐年加重,经常以强的松龙治疗,近一个月来哮喘发作频繁、咳嗽、并咯粘液脓痰、小腿浮肿。体检体温正常,皮肤和舌粘膜发绀,小腿浮肿。肺叩呈鼓音,两肺散在干湿性啰音囊舻汀⒙烧8未罄呦?cm,质较硬。胸透两肺透过度增强,肺纹理紊乱,心脏向左扩大,主动脉影致密、增宽。心电图具有肺心病的特点。诊断为感染过敏性支气管哮喘,肺心病。以红霉素、地高辛、强的松龙、诺沃林(苏制类交感抗喘剂)等治疗浮肿消失,哮喘减轻。于住院后的第36天,出现哮喘发作,大量长时间吸入诺沃林后,突然意识丧失,复苏无效而死亡。尸检所见:①冠状动脉有小的硬化斑块,管腔通
It has been reported that sudden death of bronchial asthma due to: ① all the small bronchial obstruction is sticky sputum; ② subendocardial myocardial necrosis caused by catecholamine excess; ③ hypnotic drug overdose. Example 1: Male, 64 years old. The patient had bronchial asthma attack nine years ago, then increased year by year, often with prednisolone treatment, asthma attacks in recent months, cough, and slightly mucus purulent sputum, calf edema. Physical examination normal temperature, skin and tongue mucosal cyanosis, calf edema. Pulmonary percussion was Drum, lungs scattered in the wet and dry rales capsule 舻 Ting ⒙ burning 8 not exhausted Yo? Cm, the quality of hard. Thoracotomy through the lungs increased, lung texture disorders, the left heart to expand, aortic shadow density, widening. ECG has the characteristics of pulmonary heart disease. Diagnosis of allergic bronchial asthma, pulmonary heart disease. Erythromycin, digoxin, prednisolone, Novolin (Soviet-made sympathetic anti-asthmatic agent) and other treatment edema disappeared, reduce asthma. On the 36th day after hospitalization, an asthma attack occurred. After a large amount of prolonged inhalation of norvulin, the patient suddenly lost consciousness and died of an ineffective resuscitation. Autopsy see: ① coronary small plaques, lumen