(精)COPD围术期处理.pptVIP

COPD病人的围术期处理 复旦大学附属中山医院 缪长虹 COPD? gold Global initiative for chronic Obstructive Lung Disease COPD? GOLD “a preventable and treatable disease state characterized by airflow limitation that is not fully reversible.” - usually progressive - abnormal lung inflammatory response to  noxious particles or gases - defined by history plus Spirometry COPD? 不完全性可逆气流受限 可逆的部分 支气管内炎性细胞、粘液和血浆渗出物的积聚 外周和中央气道平滑肌的收缩 运动状态下气道的过度充气 不可逆的部分 气道的纤维化与狭窄 保持小气道开放的肺泡支撑作用消失 肺泡结构破坏 Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998 Future Mortality Worldwide COPD的治疗目标 延缓病情