急性重症哮喘的紧急气道管理
- Authors
- Peter Shearer, MD
Peter Shearer, MD
- Assistant Professor of Emergency Medicine
- Mount Sinai School of Medicine
- Andy Jagoda, MD
Andy Jagoda, MD
- Professor and Chair, Department of Emergency Medicine
- Mount Sinai School of Medicine
- Section Editors
- Ron M Walls, MD, FRCPC, FAAEM
Ron M Walls, MD, FRCPC, FAAEM
- Editor-in-Chief — Adult and Pediatric Emergency Medicine
- Section Editor — Adult Resuscitation
- Neskey Family Professor of Emergency Medicine
- Harvard Medical School
- Brigham and Women's Hospital
- Susan B Torrey, MD
Susan B Torrey, MD
- Section Editor — Pediatric Resuscitation; Pediatric Trauma
- Director, Division of Pediatric Emergency Medicine
- Associate Professor of Emergency Medicine and Pediatrics (Clinical)
- NYU School of Medicine
- Deputy Editor
- Jonathan Grayzel, MD, FAAEM
Jonathan Grayzel, MD, FAAEM
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Assistant Professor of Emergency Medicine
- University of Massachusetts Medical School
- Translators
- 何怀武, 主治医师
何怀武, 主治医师
- 北京协和医院重症医学科
引言
大多数重症哮喘发作患者经积极使用β-受体激动剂、抗胆碱能药物、糖皮质激素及其他药物可成功地进行治疗。在少数情况下，此类医学干预不足以逆转即时病程，因而需要气管插管。
本文将总结对重症哮喘发作患者进行高级气道管理所使用的药物和技术，尤其是气管插管。重症哮喘的诊断与治疗的其他方面以及紧急气道管理的其他方面将单独讨论：
对成人重症哮喘的医学处理：(参见“成人哮喘急性发作的治疗”和“哮喘管理概述”)。这里也提供了一个概述治疗的流程图(诊断流程 1)。
对哮喘患者的机械通气治疗：(参见“有创机械通气在成人哮喘急性发作中的应用”)。
对儿童重症哮喘的治疗，包括机械通气：(参见“儿童重度哮喘急性发作：重症监护病房治疗”)。
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To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information or to purchase a personal subscription, click below on the option that best describes you:Literature review current through: 2017-07 . | This topic last updated: 2017-06-19.The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use ©2017 UpToDate, Inc.References- McFadden ER Jr. Acute severe asthma. Am J Respir Crit Care Med 2003; 168:740.
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