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患者男,45岁,间歇性咳嗽,气喘2月于1996年6月6日入院.入院前2月,患者突然出现胸闷、气喘、呼吸困难,经当地医院治疗F6症状一过性缓解后,多次发作,血常规、心电图和X线胸片均正常,疑为支气管哮喘,予以解痉平喘等治疗症状缓解.无发热、咯血.有吸烟史20年,每日吸烟30支左右.入院体格检查未见异常.血、尿常规、肝肾功能、心电图均正常,痰培养无致病菌生长.入院第4日5:00起床解小便后回病房突然发生胸闷、气喘、吸气性呼吸困难、口唇紫绀、继而神志模糊,短暂四肢抽搐,经吸氧、静注地塞米松、静滴氨茶碱后咳出两口血性痰病情逐渐好转,胸闷、气喘及口唇紫绀消失,呼吸平稳.次日晨5:05又突发胸闷、气喘、呼吸困难,烦躁不安,继而出现呼吸道阻塞症状,大小便失禁,全身紫绀,即行气管插管,发现气管高度痉挛阻力大,当插入气管后从管腔喷出组织一块,此时患者心跳停止,抢
Male, 45 years old, with intermittent cough and asthma admitted to hospital on June 6, 1996. Two months prior to admission, the patient developed chest tightness, wheezing and breathing difficulties. After a local hospital treatment of F6 symptoms, he had a transient relief Secondary attack, blood, electrocardiogram and chest X-ray were normal, suspected bronchial asthma, to be antispasmodic and asthma treatment of symptoms such as remission. No fever, hemoptysis. A smoking history of 20 years, smoking about 30 daily. Physical examination admitted See abnormalities, blood, urine, liver and kidney function, electrocardiogram are normal, no pathogen growth of sputum culture admission at 5:00 on the 4th after getting up to relieve urination back to the chest suddenly chest tightness, asthma, inspiratory dyspnea, lips Cyanosis, and then ambiguous, transient limbs convulsions, after inhalation of oxygen, intravenous dexamethasone, intravenous infusion of aminophylline cough two bloody sputa gradually improved condition, chest tightness, asthma and lip cyanosis disappeared, breathing steady. : 05 another sudden chest tightness, asthma, dyspnea, irritability, followed by respiratory obstruction symptoms, incontinence, systemic cyanosis, the line tracheal intubation, tracheal high spasm resistance found large, when inserted into the trachea from the lumen after the discharge of tissue A piece of trouble at this time Cardiac arrest, looting