需要通气治疗的重度支气管哮喘。20例病例回顾及管理建议。
Severe bronchial asthma requiring ventilation. A review of 20 cases and advice on management.
作者信息
Webb A K, Bilton A H, Hanson G C
出版信息
Postgrad Med J. 1979 Mar;55(641):161-70. doi: 10.1136/pgmj.55.641.161.
Abstract
The natural history and outcome of 20 asthmatics who required mechanical ventilation is reviewed. Seven of these patients died. The majority of the deaths could have been prevented if: (1) The patient had been followed-up in an asthma clinic and had been fully informed of the danger of an asthmatic attack. (2) The medical staff had been trained more fully in the evaluation and management of a severe asthma attack. Careful sequential assessment will enable timely transfer of patients with severe bronchial asthma to a unit experienced in their management.
摘要
回顾了20例需要机械通气的哮喘患者的自然病史和转归。其中7例患者死亡。如果满足以下条件，大多数死亡本可避免：（1）患者在哮喘诊所接受随访，并充分了解哮喘发作的危险。（2）医护人员在重症哮喘发作的评估和管理方面接受更全面的培训。仔细的序贯评估将使重度支气管哮喘患者能够及时转至有管理经验的科室。
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本文引用的文献
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