COPd教学查房_培训课件.pptVIP

* * * * Adapted from Singh JM, Palda VA, Stanbrook MB, Chapman KR. Corticosteroid therapy for patients with acute exacerbations of chronic obstructive pulmonary disease: a systematic review. Arch Intern Med 2002; 162: 2527-2536 * * * * * * * * * COPD急性加重期的处理 抗菌药物的应用Etiology of AECB Sethi et al. Chest 2000;117:380s-385s 80% infectious 20% non-infectious 40 - 50% Bacterial pathogens 30 - 40% Viral infection 5 - 10% Atypical Bacteria Environmental factors Non-compliance with medications 对于气道感染临床征象（如痰量增加，颜色改变，或发热）的COPD急性加重病人，抗生素应用有益。 抗菌药物是治疗COPD细菌感染急性加重的主要措施。 根据经验性治疗原则或痰病原菌培养结果选择合适抗