Chronic Bronchitis 上海交通大学医学院精品课程慢性支气管炎上海交通大学医学院精品课程.ppt

CHRONIC OBSTRUCTIVE PULMONARY DISEASE RESPIRTORY DEPARTMENT RENJI HOSPITAL DEFINITION OF COPD Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease state characterized by air flow limitation that is not fully reversible. Air flow limitation is usually progressive and is associated with an abnormal inflammatory response of lungs to noxious particles or gases,primarily caused by cigarette smoking. Component of COPD The definition Include chronic bronchitis ,emphysema with airflow limitation. The definition exclude other causes of chronic airflow obstruction such as Pulmonary cystic fibrosis , diffuse panbronchiolitis and bronchiectasis etc. COPD Component part : Process of copd Chronic Bronchitis 慢性支气管炎 Obstructive emphysema 阻塞性肺气肿 COPD airflow limitation Pulmonary artery hypertension 肺动脉高压 Col pulmonal heart disease 肺心病 Chronic Bronchitis Chronic bronchitis is defined clinically as the presence of a cough productive of sputum not attributable to other causes on most days for at least 3 months over 2 consecutive years. Clinical and epidemiological term Chronic Bronchitis Chronic nonspecific inflammation Symptoms of cough and sputum production with or without gasping Recurrent attacks Chronic proceeding Classification of Chronic Bronchitis Stages of Chronic Bronchitis Diagnosis of chronic bronchitis Cough Sputum expectoration Gasping Three months /per year or longer Continuously longer than two years Exclude other lung and heart disease If shorter than three months /per year then definite objective evidences are demanded (such as X-Ray and lung function et al.)to diagnose. Definition of Emphysema Pulmonary emphysema (a pathological term) is characterized by abnormal,permanent enlargement of air spaces distal to the terminal bronchioles ,accompanied by destruction of their walls and hyperdistension leading to re