Palmer K N
Postgrad Med J. 1969 May;45(523):336-41. doi: 10.1136/pgmj.45.523.336.
Bronchial asthma is a serious disease which carries a potential threat to life. Deaths from asthma have risen alarmingly in Britain in recent years in spite of the availability of powerful drugs to combat the attack. Overdosage from pressurized aerosols containing isoprenaline is common and is undoubtedly a factor in the rise in asthma deaths by causing fatal cardiac arrhythmias. Corticosteroid drugs in large doses are needed in all severe exacerbations of asthma and failure to respond to this group of drugs, especially when the arterial carbon dioxide tension is rising, is an urgent indication for assisted ventilation.
支气管哮喘是一种严重的疾病,对生命构成潜在威胁。尽管有强效药物可用于对抗哮喘发作,但近年来英国因哮喘死亡的人数仍惊人地上升。含有异丙肾上腺素的加压气雾剂过量使用很常见,无疑是导致致命心律失常从而使哮喘死亡人数上升的一个因素。在哮喘所有严重加重的情况下都需要大剂量使用皮质类固醇药物,而对这类药物无反应,尤其是当动脉血二氧化碳分压上升时,是进行辅助通气的紧急指征。