文档介绍:该【copd英文课课件 】是由【yzhqw888】上传分享,文档一共【86】页,该文档可以免费在线阅读,需要了解更多关于【copd英文课课件 】的内容,可以使用淘豆网的站内搜索功能,选择自己适合的文档,以下文字是截取该文章内的部分文字,如需要获得完整电子版,请下载此文档到您的设备,方便您编辑和打印。ChronicObstructivePulmonaryDisease(COPD)
GuohuaZhen
TongjiHospital
PercentChangeinAge-AdjustedDeathRates,.,1965-1998
0
Proportionof1965Rate
1965-1998
1965-1998
1965-1998
1965-1998
1965-1998
–59%
–64%
–35%
+163%
–7%
Coronary
Heart
Disease
Stroke
OtherCVD
COPD
AllOther
Causes
WhyCOPDisImportant?
COPDistheonlychronicdiseasethatisshowingprogressiveupwardtrendinbothmortalityandmorbidity
Itisexpectedtobethethirdleadingcauseofdeathby2020
Approximately3%Chineseabove15arecurrentlysufferingfromCOPD
RelationshipofCOPDandChronicbronchitis,AsthmaorEmphysema
ChronicBronchitis
ChronicBronchitis
Definition:Chronicandunspecificinflammationofbronchiandthesurroundingtissue.
Feature:chronicmucushypersecretionandcough.
Morbidity:%inpopulationover15y,upto15%inelderlyover50y.
Clinicalmanifestation
Character:
chroniconset,recurrentattackandlongcourseofdisease
Mainsymptoms:
cough:chronic,longterm,repeatedly
expectoration:mucoidsputum,purulentsputumwheninfection
wheezing:seeninsomepatients
Examination
Chestx-rayimaging
Examination
Pulmonaryfunctiontest:.
Bloodroutine:elevatedneutrophiloreosinophil
Sputumexamination:bacterialcultureguideantibiotictreatment
Diagnosis
Chroniccoughandsputumproductionfor3consecutivemonthsinatleast2successiveyears(≥3m/yⅹ2y),excludingotherchroniclungdiseases(TB,Bronchiectasis)
Definitechestimagingorlungfunction