呼吸系统疾病导论(英文).pptVIP

术后当天 术后3天 支架置入后，每隔2-3天挪动一次，支架置入后2周的镜下情况 术后14天 支架摘除后 支架摘除后一周的情况 Future New diagnostic and management techniques:genic diagnosis and treatment Reverse the tendency of increased morbidity and mortality (healthy respiration): reduce smoking and air pollution Future Challenges in drug-resistant bacteria and fungi, lung cancer, COPD, interstitial disease and new diseases (SARS, Bird Influenza,H1N1 Influ) Thank You! 慢阻肺患病人数多, 病死率高, 呈缓慢进行性发展, 严重影响患者的劳动能力和生活质量,。 据最近的世界卫生组织-全球疾病负担（GBD）调查结果显示，慢阻肺在全球范围内的排序由1990年的第四位升到了2010年的第三位，已成为全球第三大死因。 * * Introduction to Respiratory Diseases Respiratory diseases are the most common and very important The most common diseases in all systems(China) The No 3rd killer in rural area(China) The 4th killer in urban area Pneumonia is the biggest direct killer of aged people in the world Morbidity and mortality of respiratory diseases in China increases eventually year by year Percent Change in Age-Adjusted Death Rates, U.S., 1965-1998 0 0.5 1.0 1.5 2.0 2.5 3.0 Proportion of 1965 Rate 1965 - 1998 1965 - 1998 1965 - 1998 1965 - 1998 1965 - 1998 –59% –64% –35% +163% –7% Coronary Heart Disease Stroke Other CVD COPD All Other Causes Lozano R, et al. Lancet.?2012;380(9859):2095-128.? /gbd/visualizations/regional. WHO-GBD：1990和2010年全球主要死因比较 19.30% (1.4M) 肿瘤 19.10% (1.4M) 脑血管疾病 17.60% (1.28M) COPD 15.0% (1.0M) 心血管疾病 1.2% (90,000) 糖尿病 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% 死因% （2000年） 呼吸疾病是中国主要致死性疾病 (2000年） MOH Disease Control Department and NCDC. Report on Chronic Disease in China. 2006. 2005 Report in NCDC Annual Conference. WHY????? Main Factors Respiratory system contacts outside directly(100M2),air 10000L/min Pulmonary circulation:low pressure(1/6~1/5),low resistance and high volume Main Factors Two arterial systems and communicate with other blood vessels and lymphatics outside lung Main Factors Abundant connective tissue Air pollution and cigarette smoking Expected average life-span extended Immunocompromised host Main Diseases of Re