Waking up in the middle of the night with breathlessness is commonly seen in laryngeal edema caused by allergy, acute asthma attack, and spontaneous pneumothorax. Different causes of different treatments, should be timely consultation, identify the cause of the disease, and follow the doctor’s instructions for standardized treatment, including drug treatment, surgical treatment, and so on.
1. Laryngeal edema caused by allergy: if the patient inhales a certain allergic substance, a strong allergic reaction can occur in a short time, the onset is relatively rapid, and the patient often has breathing difficulties, laryngeal ringing, suffocation and other manifestations. When severe allergic reaction occurs, oxygen can be inhaled through mask, etc. If necessary, it is necessary to consider mechanically assisted ventilation such as tracheal intubation, and follow the doctor’s instructions for the use of epinephrine and other emergency drugs.
2. Acute asthma attack: If climate change occurs at night, asthma symptoms such as chest tightness, wheezing, dyspnea and other asthma symptoms can be suddenly aggravated, which will lead to suffocation and waking up. Oxygen therapy should be carried out in time. For mild to moderate acute attacks, drugs such as salbutamol and terbutaline can be inhaled, and for severe cases, drugs such as prednisone and budesonide can be used, and drugs such as aminophylline can be fed into the vein if necessary.
3. Spontaneous pneumothorax: refers to the pneumothorax caused by the gas in the lungs and bronchial tubes entering into the pleural cavity, and the patient may suddenly have symptoms such as chest tightness, chest pain, dyspnea, etc. In the acute stage, the patient should be treated with emergency symptomatic treatment. In the acute stage, emergency symptomatic treatment should be given, including the administration of high concentration of oxygen, monitoring of vital signs, and timely treatment of exhaustion through thoracocentesis, closed chest drainage, etc. If necessary, open heart surgery is feasible.
Sleeping in the middle of the night, breathless and suffocating wake up, it is recommended that patients go to the hospital in a timely manner, to clarify the cause of the disease, and by the doctor to carry out targeted treatment, so as not to delay the condition.