Illig H
Med Klin. 1978 Mar 10;73(10):357-60.
23 deaths of patients with severe asthmatic dyspnea were analyzed. There was no correlation between clinical presentation and cause of death certified by post-mortem examination. The cause of death was found outside the airways in 14 patients. Of diagnostic-therapeutic implications are the relative frequency of spontaneous pneumothorax (5) and pulmonary embolism (3). Six times another cause of death was discovered (like tumor invasion, arterial thrombosis, hemorrhagic pancreatitis, myocardial infarction). Acute asthmatic death was prone to happen in the middle-aged asthmatic with less than two years of bronchial asthma. Here like in 5 patients with chronic obstructive airways disease lack of awareness of the seriousness of the patients' state, sometimes cessation of cortisone long-term therapy, seldom abuse of bronchodilator-aerosols seems to be important for the lethal outcome.
对23例重度哮喘性呼吸困难患者的死亡情况进行了分析。临床表现与尸检确定的死亡原因之间无相关性。14例患者的死亡原因在气道外被发现。具有诊断治疗意义的是自发性气胸（5例）和肺栓塞（3例）的相对发生率。另外有6例发现了其他死亡原因（如肿瘤侵犯、动脉血栓形成、出血性胰腺炎、心肌梗死）。急性哮喘死亡易发生在患支气管哮喘不到两年的中年哮喘患者中。与5例慢性阻塞性气道疾病患者一样，对患者病情严重性缺乏认识、有时停止长期皮质激素治疗、很少滥用支气管扩张气雾剂似乎对致命结局具有重要影响。
