重叠综合症素材.ppt

GINA and GOLD. Diagnosis of diseases of chronic airflow limitation:asthma, COPD and asthma-COPD overlap syndrome(ACOS) (updated 2015). Available from URL: http:///. Accessed: 13 April 2015. Sputum Eosinophil Counts Management Individualized management ICS may be considered in patients with ACOS with significant sputum eosinophilia (eosinophil count ≥ 3%). Disability Future ACOS Studies First, which genes are the genetic risk factors for developing ACOS? the second question is what are the molecular pathways of ACOS? Third, what is the natural course or prognosis of ACOS? Conclusions ACOS may be an interim term applicable to patients in whom it is difficult to distinguish between asthma and COPD. An alternative approach to chronic obstructive airway disease is to describe rather than to categorize the disease. 人有了知识，就会具备各种分析能力， 明辨是非的能力。 所以我们要勤恳读书，广泛阅读， 古人说“书中自有黄金屋。 ”通过阅读科技书籍，我们能丰富知识， 培养逻辑思维能力； 通过阅读文学作品，我们能提高文学鉴赏水平， 培养文学情趣； 通过阅读报刊，我们能增长见识，扩大自己的知识面。 有许多书籍还能培养我们的道德情操， 给我们巨大的精神力量， 鼓舞我们前进。 * 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 滨州市人民医院 Binzhou Peoples Hospital 大医精诚 厚德至善 呼吸内科 朱建波 材料来源 Main teaching points 重叠综合征是同时具有哮喘和慢阻肺特点的气流受限性疾病 除了吸入激素和支气管扩张药物外，有必要明确和排除可避免的危险因素，比如吸烟。 肺功能快速下降的重叠综合征病人多见于哮喘合并吸烟的患者 引言 ACOS Phenotype of COPD ? asthma ACOS COPD Prevalence of ACOS Different criteria different outcome Burden of ACOS Andersen H. High hospital burden in overlap syndrome of asthma and COPD. Clin. Respir. J. 2013; 7: 342–6. Fattahi F. Atopy is a risk factor for respiratory symptoms in COPD patients: results from the EUROSCOP study.Respir. Res. 2013; 14: 10. Chung JW, Kong KA, Lee JH, Lee SJ, Ryu YJ, Chang JH. Characteristics and self-rated health of overlap syndrome. Int. J. Chron. Obstruct. Pulmon. Dis. 2014; 9: 795–804. PATHOPHYSIOLOGY OF ACOS 基