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对10例重症哮喘患者用大剂量琥珀酸氢化可的松持续静脉滴注(每次100~200mg,每日1000~1800mg)同时快速静脉输液纠正脱水,并与常规激素治疗的15例重症哮喘进行对照,发现症状缓解、喘鸣音的消失、动脉血气的恢复都明显缩短。重症哮喘合并气胸,即使肺萎陷30%以下,亦应穿利抽气或行胸腔闭式引流。
10 patients with severe asthma with high-dose hydrocortisone succinate continued intravenous infusion (each 100 ~ 200mg, 1000 ~ 1800mg daily) while rapid intravenous infusion to correct dehydration, and conventional hormonal treatment of 15 cases of severe asthma Control, found symptoms, wheezing disappeared, arterial blood gas recovery were significantly shorter. Severe asthma with pneumothorax, even if the lung collapse below 30%, should also wear gas suction or chest closed drainage.