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作者报导1例严重而顽固的支气管哮喘病人,用静注硫酸镁(MgSO_4)溶液的经验。 病人男,25岁,因严重哮喘发作4h,自吸沙丁胺醇(舒喘宁)无效来急诊,当时焦躁不安、呼吸极度困难、说话断续、发绀,检查时无法测定呼气流速峰值。吸气欠佳,肺野布满呼气性喘鸣。立即给吸60％氧,雾化吸入沙丁胺醇5mg并静注氢可的松100mg。血气检查结果:pH7.22,PaO_218.3kPa,PaCO_27.7kPa,碱过剩(BE)-5.3mmol/L。鉴于病人呼吸频率>50次/min,
The authors report a case of severe and refractory bronchial asthma with intravenous magnesium sulfate (MgSO 4) solution experience. Male, 25 years old, due to severe asthma attack 4h, self-absorption of salbutamol (salbutamol) invalid emergency, was restless, breathing extremely difficult, intermittent speech, cyanosis, check the peak expiratory flow can not be measured. Insufficient breathing, lung fields filled with expiratory wheezing. Immediately inhaled 60% oxygen inhalation of salbutamol 5mg and intravenous injection of hydrocortisone 100mg. Blood gas test results: pH7.22, PaO_218.3kPa, PaCO_27.7kPa, excess base (BE) -5.3mmol / L. In view of the patient respiratory rate> 50 beats / min,