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慢性喘息型支气管炎急性发作是常见的急症。多在冬舂两季发病,近年来在我地区有上升趋势。为此从1988年以来选择51例急诊病人,在急性发作期先后用山茛菪碱和氨茶碱静脉给药作自身对照,观察山茛菪碱的平喘效果及临床价值。 病例选择 全部病例均为我院内科急诊留诊病人,发作时必须具有气急、哮喘、咳痰,双肺满布哮喘鸣音,严重者出现口唇及肢体末端发绀,表现极度呼吸困难等症状和体征,需除外非呼吸系统疾病所致的哮喘,本组51例中,男24例,女27例,年龄最大75岁,最小41岁。病程最长达38年,最短4年。合并肺气肿32例,肺心病10例,冠心病5例,肺内感染9例,并存两种以上疾病者35例。
Acute episodes of chronic asthmatic bronchitis are common emergencies. Mostly in winter and two seasons disease, in recent years in my area there is an upward trend. For this reason, 51 emergency patients were selected since 1988, and intravenous administration of anisodamine and aminophylline as self-control during acute exacerbation was used to observe the antiasthmatic effect and clinical value of anisodamine. Case selection All cases are hospital emergency medical patients, the attack must have shortness of breath, asthma, sputum, lungs covered with wheezing, severe lips and limbs appear cyanosis, extreme symptoms of dyspnea and other signs and symptoms , Except for non-respiratory diseases caused by asthma, the group of 51 patients, 24 males and 27 females, the oldest 75 years old, minimum 41 years old. The course of up to 38 years, the shortest 4 years. 32 cases of emphysema, pulmonary heart disease in 10 cases, 5 cases of coronary heart disease, pulmonary infection in 9 cases, coexisting in more than two kinds of diseases in 35 cases.