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静脉输注异丙肾上腺素治疗危及生命的哮喘

Management of life-threatening asthma with intravenous isoproterenol infusions.

作者信息

Parry W H, Martorano F, Cotton E K

出版信息

Am J Dis Child. 1976 Jan;130(1):39-42. doi: 10.1001/archpedi.1976.02120020041006.

Abstract

Thirty-four patients with life-threatening childhood status asthmaticus were treated with intravenous isoproterenol infusions. Twenty-seven responded favorably; seven failed to respond and underwent mechanical ventilation. Intravenously administered isoporterenol was a useful therapeutic adjunct in the treatment of these severe attacks. Complications in these cases were rare, but cardiac arrhythmia, rebound bronchospasm, and acute mobilization of secretions need to be considered. Further evaluation of the efficacy of intravenous infusions of isoproterenol in status asthmaticus would be valuable.

摘要

34例患有危及生命的儿童重症哮喘的患者接受了静脉注射异丙肾上腺素治疗。27例反应良好;7例无反应并接受了机械通气。静脉注射异丙肾上腺素是治疗这些严重发作的一种有用的治疗辅助手段。这些病例中的并发症很少见,但需要考虑心律失常、反跳性支气管痉挛和分泌物的急性排出。进一步评估静脉输注异丙肾上腺素治疗重症哮喘的疗效将很有价值。

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