THE INVESTIGATION OF PATIENTS ADMITTED FROM ASTHMA IN INTENSIVE CARE UNIT RECENTLY DURING THREE YEARS

概要

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It is important to investigate the treatment or condition before and on severe asthma attack to consider preventive treatment, because our hospital is in charge of third medical care as emergency life care center. During 3 years from January 1991 to Decenber 1993, eight asthma patients admitted in ICU. Their past history and laboratory data were investigated. Three of 6 patients, excluding 2 patients admitted on first asthma attack, was administered MDI (β stimulater drug). One of the three was died of asthma. The time from attack to admission of patients administered MDI was shorter than that of patients who was not administered. CRP of 3 patients administered MDI was negative. Two patients used MDI on self-control. The pH of first blood gas analysis of the two were very low (7.04 and 7.05). The time from attack to admission of the two were very short (1.5 and 7 hours). So it is possible that MDI had some effect on the acute exacerbation of asthma attack. Patients administered MDI should be controled as to the usage of MDI.
日本小児アレルギー学会の論文