如何理解和灵活应用咳嗽诊治指南技术 培训.pptVIP

如何理解和灵活应用“咳嗽诊治指南”;咳嗽诊治指南的发布;重视慢性咳嗽的病因诊断 充分理解和掌握慢性咳嗽的病因诊断程序 因地制宜地开展咳嗽相关检查 加强多学科合作 如何开展经验性诊断和治疗 掌握主要咳嗽病因的特异性治疗方案;咳嗽的分类;慢性咳嗽误诊误治严重!;重视慢性咳嗽的病因诊断;慢性咳嗽病因的构成研究;Irwins RS, et al. Am Rev Respir Dis,1990;141(3):640-7.;Fujimura M, et al. (Kanazawa Asthma Research Group). Importance of atopic cough, cough variant asthma and sinobronchial syndrome as causes of chronic cough in Hokuriku area of Japan. Respirology ,2005; 10: 201-207.; GERD: 2.4﹪ Smoker’s bronchitis (chronic bronchitis): 1.8﹪ ACE I: 1.2﹪ Bronchogenic carcinoma: 0.6﹪ volatile solvent-induced cough: 0.6﹪ PNDS-induced non-productive cough was not found;Fujimura M, et al.Respirology 2005; 10: 201-207.;慢性咳嗽的主要病因构成;慢性咳嗽的病因构成;病因;病因;国内外病因构成的差别;慢性咳嗽的其他病因;中华医学会呼吸病学分会哮喘学组应组织一项全国的关于慢性咳嗽病因的流行病学调查(evidence-based);慢性咳嗽病因的关联性研究;Eosinophilia;变应性咳嗽(atopic cough,AC);诊 断标准(中华医学会呼吸病学分会哮喘学组,2005);Fujimura M, et al. (Kanazawa Asthma Research Group). Importance of atopic cough, cough variant asthma and sinobronchial syndrome as causes of chronic cough in Hokuriku area of Japan. Respirology ,2005; 10: 201-207.;Fujimura M, et al.Respirology, 2005; 10: 201-207.;Criteria for definite diagnosis of atopic cough: for clinical researchers (Japanese Cough Research Society) 1. Non-productive cough lasting more than 8?weeks without wheezing or dyspnoea. 2. Presence of one or more findings indicative of an atopic constitution, including a past history and/or complications of allergic diseases excluding asthma, a peripheral blood eosinophilia (??6﹪ or ??400?cells/μL), raised total IgE level in the serum (??200?IU/mL), positive specific IgE antibody to aeroallergens and positive allergen skin test and/or induced sputum eosinophilia (??2.0﹪). 3. No bronchial reversibility, defined as less than a 10﹪ increase in FEV1 after inhalation of 300?μg salbutamol sulphate. 4. Normal bronchial responsiveness (positive responsiveness being the provocative concentration of methacholine causing a 20﹪ fall in FEV1 (PC20)???10?mg