哮喘持续状态已成为急诊科最主要急症之一。本文总结了我院1990年～1999年成功抢救40例重症哮喘持续状态患者的抢救体会,报告如下。1 临床资料1.1 一般资料 40例中,男26例,女14例,年龄21岁～68岁,平均30.3岁。有哮喘病史7年～40年。治疗前患者均有严重哮喘发作持续超过24h。40例患者呼吸频率平均32.7次/min,最快为62次/min。哮喘并发呼吸衰竭10例,并发心衰4例,并发肺脑3例。40例病人中25例患者的血 WBC 超过10.0×10~9/L,最高达26.0×10~9/L,8例(5.0%)病人伴有低钾,平均3.12±0.25,最低2.1mmol/L。40例患者在就诊后均进行了呼吸、缺氧程度、电解质监测。7例为单纯低氧血症,另外26例的酸碱失衡合并低氧血症及7例单纯酸碱失衡。1.2 抢救措施确诊后立即给予鼻导管持续吸入氧流量4 The state of asthma has become one of the major emergencies of the emergency department. This article summarizes the successful rescue of 40 cases of severe asthma in our hospital from 1990 to 1999, the patient’s rescue experience, the report is as follows. 1 Clinical data 1.1 General Information 40 cases, 26 males and 14 females, aged 21 years to 68 years, an average of 30.3 years old. Have a history of asthma 7 years to 40 years. Patients had severe asthma attacks for more than 24 hours before treatment. The average respiratory rate of 40 patients was 32.7 times / min and the fastest was 62 times / min. Asthma complicated by respiratory failure in 10 cases, complicated by heart failure in 4 cases, complicated by pulmonary brain in 3 cases. 25 of 40 patients had blood WBC of more than 10.0 × 10 ~ 9 / L and a maximum of 26.0 × 10 ~ 9 / L, and 8 patients (5.0%) had hypokalemia with an average of 3.12 ± 0.25 and a minimum of 2.1 mmol / L. Forty patients underwent respiration, hypoxia, and electrolyte monitoring after their visit. 7 cases were simple hypoxemia, 26 cases of acid-base imbalance with hypoxemia and 7 cases of simple acid-base imbalance. 1.2 rescue measures given immediately after diagnosis of nasal catheter inhalation of oxygen flow 4