Aviado D M
Ann Anesthesiol Fr. 1977;18(7-8):569-73.
In a patient under general anesthesia, the occurrence of bronchospasm can be readily treated provided the cause is diagnosed early. The corrective drugs to dilate are readily available: atropine, epinephrine and theophylline. In the choice of preanesthetics, anesthetics and adjuvants, it is important to remember that there are differences in the bronchomotor effects; most curareform drugs constrict except pancuronium; most inhalational anesthetics dilate in contrast to intravenous anesthetics. In the event that bronchospasm cannot be re relieved by drugs, intubation and assisted breating can be applied to maintain adequate gas exchange in the alveoli.
在全身麻醉的患者中，只要能早期诊断出支气管痉挛的病因，就可以很容易地进行治疗。用于扩张的纠正药物很容易获得：阿托品、肾上腺素和茶碱。在选择麻醉前用药、麻醉药和辅助药物时，必须记住支气管运动效应存在差异；大多数箭毒类药物会引起收缩，但潘库溴铵除外；与静脉麻醉药相比，大多数吸入麻醉药会引起扩张。如果药物无法缓解支气管痉挛，可以进行插管和辅助呼吸，以维持肺泡内足够的气体交换。
