重症哮喘是呼吸科急危症 ,死亡率较高。 2 0 0 2年 6月至 2 0 0 3年 8月 ,我科对 2 1例该病患者采用纤支镜导引经鼻气管插管并机械通气抢救 ,效果良好。现报告如下。1　临床资料本组 2 1例患者中 ,男 13例 ,女 8例 ,年龄18～ 6 2岁 ,病程 10～ 30余年 ,急性发作时间为0 5～ 4 Severe asthma is acute respiratory disease, higher mortality. From June 2002 to August 2003, 21 patients in our department were treated with fiberoptic bronchoscopy and mechanical ventilation to rescue them. The report is as follows. 1 Clinical data 21 patients in this group, 13 males and 8 females, aged 18 to 62 years, duration of 10 to 30 years, the time of the acute attack was 0 5 to 4