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most of the patients were in 3rd to 4th decades of life.the guidelines of British Thoracic Society for the management of severe acute asthma where they advocate nebulized salbutamol along with corticosteroid as the treatment of choice.This shows that nebulized salbutamol is the first line drug for severe acute asthma.Bronchial asthma occurs at all ages but predominantly in early life ,Male: Female ratio is 1.7:1, in childhood is 2:1, all patients presented with dyspnea, wheeze and cough sputum was in 60% of patients.Cough and sputum don't necessarily indicate respiratory infection rather these result from inflammation in night and early morning aggravation of symptoms was in 73%.also associate with the morning dipping is a sign for asthma About 33% patients complained of tightness or discomfort in the chest.discomfort might be produced by fatigue of the respiratory muscles.
most of the patients were in 3rd to 4th decades of life. Bronchial asthma occurs at all ages but predominantly in early life ,Male: Female ratio is 1.7:1, in childhood is 2:1, all patients presented with dyspnea, wheeze and cough sputum was in 60% of patients. Cough and sputum don't necessarily indicate respiratory infection rather these result from inflammation in night and early morning aggravation of symptoms was in 73%. also associate with the morning dipping is a sign for asthma About 33% patients complained of tightness or discomfort in the chest. discomfort might be produced by fatigue of the respiratory muscles. The fever on admission was 36%. bacterial infection could not be a prove. A precipitating factor was in Most are dust (83%), cold air (76%), Pollen (20%). clinical types 36% had episodic disease 43% had chronic disease and 13% mixed type. more common among young adult and chronic and mixed asthma in older age. younger patients have extrinsic asthma and older people have intrinsic asthma. 50% suffered from other allergic (Rhinitis (33%), Eczema (10%) and both (10%)).74% have a family history of allergic. Most of the hospital admission for asthma occurred in winter. Cold air is also a common trigger factor.
Blood test results that 13% has eosinophilia which may indicate the rate of attacks have an allergic basis. Ige level and skin prick test would be more specific for detection of allergic cases. In this study p value of nebulized salbutamol group was
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