患儿，女，11万岁，因咳嗽3月，气喘1月，加剧2天于1998年2月入院。曾在门诊用氨于青霉素、地塞米松、感冒灵等药物治疗，疗效欠佳，近2天来咳喘加剧，不能平卧，拟“哮喘发作”收入院。既往8岁时有“哮喘”病史。查体：体温37．3℃，呼吸46次／分，消瘦，端坐呼吸，见吸气性三 Children, women, 11-year-old, due to cough March, asthma in January, exacerbated 2 days in February 1998 admitted. In the clinic with ammonia in penicillin, dexamethasone, flu and other drugs, poor efficacy, nearly 2 days to cough and asthma exacerbated, not supine, to be “asthma attack” income hospital. Past 8 years old with “asthma” history. Physical examination: body temperature 37.3 ℃, breathing 46 beats / min, weight loss, sitting breathing, see inspiratory three