目的:探讨西宁地区重症支气管哮喘的特点及救治措施;方法:对本院2003年—2005年救治的6例重症支气管哮喘治疗前、后动脉血气分析进行统计分析;并对6例治疗前、中、后气道压力和血气分析进行比较;结果:高海拔地区(2260m)重症哮喘救治比较困难,若行积极治疗,可明显降低病死率。结论:要提高高海拔地区(2260m)重症哮喘的诊治水平,熟练掌握有创和无创呼吸机的应用指征及呼吸机的规范操作;加强高原地区重症支气管哮喘的病理生理研究。 Objective: To explore the characteristics and treatment of severe bronchial asthma in Xining area.Methods: Six cases of severe bronchial asthma treated in our hospital from 2003 to 2005 were analyzed statistically before and after the treatment, and 6 cases before and after treatment , Post-tracheal pressure and blood gas analysis were compared; Results: Severe asthma treatment in high altitude (2260m) is more difficult, if the active treatment, can significantly reduce the mortality. Conclusion: To improve the diagnosis and treatment of severe asthma at high altitude (2260m), master the application indications of invasive and noninvasive ventilator and normative operation of ventilator; and strengthen the pathophysiological study of severe bronchial asthma in plateau.