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顽固性支气管哮喘(简称哮喘),如哮喘持续状态、反复发作久治不愈的哮喘等,是临床常见的棘手问题之一。笔者在处理这类病人时体会到:去伪存真在混沌中识辨病因众所周知,相当部分的哮喘患者都有比较确切的发病因素。常见者有花粉、尘螨、运动、感染、阿斯匹林等等。辨明并脱离这些因素是防治哮喘的首要步骤。对于反复发作、病因不明的哮喘,欲从千头万绪中找到真正的原因,往往不象典型的哮喘那么简单,需要我们从常见现象着手,进行由此及彼,由表及里,去粗取精,去伪存真的分析,从而辨明某些不常见的病因。由于用药不当或个体差异等因素,有时平喘药可产生严重的心血管方面的副作用。这在一般性哮喘的治疗中不常发生,但在重症及伴有心
Persistent bronchial asthma (asthma), such as asthma persistence, repeated episodes of asthma and other persistent, is one of the most common clinical difficult problems. When I deal with such patients experience: to leave the pseudo-existence in the chaos to identify the cause As we all know, a considerable part of the asthma patients have more specific risk factors. Common are pollen, dust mites, exercise, infection, aspirin and so on. Identifying and separating these factors is the first step in the prevention and treatment of asthma. For recurrent, unexplained asthma, trying to find the real cause of the multitude of things, are often not as simple as a typical asthma, we need to proceed from the common phenomenon, from which, from the table, to crude, To pseudo-true analysis, thus identifying some unusual causes. Due to improper medication or individual differences and other factors, sometimes antiasthmatic drugs can produce serious cardiovascular side effects. This is not common in the treatment of general asthma, but in severe and associated heart