支气管哮喘院前急救体会（Experience of pre hospital emergency treatment of bronchial asthma）.docVIP

支气管哮喘院前急救体会（Experience of pre hospital emergency treatment of bronchial asthma） Experience of pre hospital emergency treatment of bronchial asthma Update Date: 2011-04-26 Liu Xiang In recent years, the incidence and mortality of bronchial asthma are on the rise, especially acute fatal attack is still one of life-threatening Department of respiration emergencies. Due to the sudden onset of acute asthma attacks, rapid deterioration, adapted treatment and characteristics of rapid relief, medical intervention after the onset of the attack and shorten the time sooner or later, to prevent the worsening of symptoms, prevent fatal asthma occurrence is directly related to. Therefore, pre hospital emergency treatment has a positive significance for the rapid remission of bronchial asthma. During the period from January 1999 to January 2000, I received 26 cases of this kind of patients in pre hospital care, and I reported the first aid situation and experience as follows. 1 clinical information 1.1 general data were 18 males, 13~79 years old, 8 females, aged 23~72 years. All 26 patients had definite history of bronchial asthma. According to the 1992 diagnostic criteria of the National Conference on asthma, 6 cases were critically ill. The symptoms were vague, unable to speak, two incontinence, and some patients had silent chest. The heart rate was increased by 110 times /min. 12 cases of severe anxiety, sweating, lung wheezing was widely, cyanosis, tone articulation. There were 8 cases of moderate, sitting, anxiety, shortness of breath, double lung breath and wheezing. 1.2 treatment methods, ambulance personnel arrived at the scene, once diagnosed with bronchial asthma, that is, according to the severity of oxygen inhalation, open up the venous channel. Because most patients have to use inhaled bronchodilators repeatedly, and severe onset of tracheal spasm, airway obstruction, prevent inhalation drugs into the airway, the repeated use of these drugs, but rapidly by the intrave