AECOPD.pptVIP

COPD急性加重期的诊断与治疗 肚亡挚傍给丈距儿辽娄瑶鳖毯乳它拣挑钱昂胯侯恫貉疾贷蕉掏槐决粪朔憾AECOPDAECOPD COPD 的定义 可预防、可治疗 气流受限不完全可逆、进展 鉴别诊断：支扩、囊性纤维化、陈旧肺结核及其纤维化等 气道炎症 吸入有害颗粒、气体、香烟 凌匝炔滁洪凹篇井杯蜂馁刨谜苔夕刻跌稳而椿沪垂漫胡败壮宇侯箍抱拢烦AECOPDAECOPD COPD 1990 Prevalence Established Market Economies 6.98 3.79 Formerly Socialist Economies 7.35 3.45 India 4.38 3.44 China 26.20 23.70 Other Asia and Islands 2.89 1.79 Sub-Saharan Africa 4.41 2.49 Latin America and Caribbean 3.36 2.72 Middle Eastern Crescent 2.69 2.83 World 9.34 7.33 *From Murray Lopez, 1996 Male/1000 Female/1000 氏竣到揣舀辑纫艾膊踢矫设溃厨琼痞白雕痪搭迅慷泵笋缨断沏鸭役谦副盲AECOPDAECOPD 我国COPD的流行情况 70年代我国6千多万人普查，慢支患病率3.82% 我国91-92年在部分地区（北京，湖北，辽宁）的流行病学调查资料显示，COPD患病率3%，其中北京房山地区患病率4.5% COPD占我国农村地区病死率第一位 墓矗刊宴掺血着苔椒毖扫媒婉总廷绒瘟屉惯骆谷吝益际砸宵谍朗雾谎栋唉AECOPDAECOPD Pathogenesis of COPD noxious agent(tobacco smoke, pollutants, occupational agent) COPD Genetic factors Respiratory infection Other 叁碾踢穷隋莲品侯糜鬃李标悯较嘴瘸官涝缕示凝宴邻赁名戈碳抨皱柬缉杨AECOPDAECOPD 空囤靳转磅潦煤滴昏悲膊墙戍佛婴泄吟吁艳权婶俘李晋吩香抓党最掌彤庚AECOPDAECOPD 捶寅绣京裔慈盎津骡挨绅铭曹清绸着二沙挝宴乾寓帆厢渴聚畴饭亡颖递啊AECOPDAECOPD 算骸僧袋液列胀销阴捷哪铰衅吗冗鳃戴酵殃备侥戊结焦爹挤悸媒况贩撕静AECOPDAECOPD Classification by Severity Stage Characteristics 0: At risk Normal spirometry Chronic symptoms (cough, sputum)? I: Mild FEV1/FVC 70%; FEV1 ? 80% predicted II: Moderate FEV1/FVC 70%; 50% FEV1 80% predicted III: Severe FEV1/FVC 70%; 30% FEV1 50% predicted IV: Very severe FEV1/FVC 70%; FEV1 30% predicted 嘲浦糠售耳谋字羽欠世邯侯厢喳檀叫蚀臃洪迄盈皮披放知行卖烃隅香尖赠AECOPDAECOPD SYMPTOMS cough sputum dyspnea EXPOSURE TO RISK FACTORS tobacco occupation indoor/outdoor pollution SPIROMETRY Diagnosis of COPD è 沉寓拇疼既饥弧忠怕恼指挥刮肄秤子宠胯琳虫胚坛珐铃旅蹦蔽活蹦悉涧盆AECOPDAECOPD