7.支气管哮喘(双语)-豆柴文库

您所在位置：网站首页 / 7.支气管哮喘(双语).ppt / 文档详情

免费试读已结束，剩余 51 页请下载文档后查看

10 金币

下载文档

/ 56

下载提示

如果您无法下载资料，请参考说明：

1、部分资料下载需要金币，请确保您的账户上有足够的金币

2、已购买过的文档，再次下载不重复扣费

3、资料包下载后请先用软件解压，在使用对应软件打开

文本预览

7.支气管哮喘(双语)WhatIsAsthma?		EpidemiologyImpactOfAsthmaOnPatientsDidYouKnow..WhatCausesAsthma?WhatCausesAsthmaTriggersandIrritantsCommonAllergens(Triggers)	CommonIrritants(Triggers)Airway
HyperresponsivenessVirusescauseasthmaexacerbations
RVscause~60%ofvirus-inducedexacerbationsofasthma
RVsdirectlyinfectthebronchialairways
Theresponsetoviralinfectionisshapedbythehost’santiviralresponseNakano,Y.etal.Chest2002;122:271S-a-275S-aTheAllergicReactionTheAsthmaCascadeMediatorPhasesTheEndResultsOfTheCascade	NormalBronchioleInflamedBronchiole				withMucus					AirwayObstructionRemodelingPhasesVignola,A.M.etal.Chest2003;123:417S-a-422S-aIncreasedthicknessofthebasementmembrane,andenhancedandabnormaldepositionofcollageninthebronchialsubmucosaALotGoingOnBeneathTheSurfaceCommonSymptomsOfAsthmaEarlySignsOfAnAsthma“Episode”MeasuresOfAssessmentAndMonitoringInitialAssessment&DiagnosisofAsthmaMethodsforEstablishingDiagnosisDiagnosisofasthmaAsthmaLungAssessmentSpirometryIsAirflowObstructionAtLeastPartiallyReversible?PeakExpiratoryFlowVariability	PeakFlowMetersDifferentialdiagnosisofasthmaAsthmaSeverityLevelsAsthmaSeverityLevelsBySymptomsMildIntermittentMildPersistentModeratePersistentSeverePersistentGoalsOfAsthmaTherapyGoalsOfAsthmaTherapyContinued…	StepwiseApproachTo
	Asthma	TherapyBronchodilators
Relaxingbronchialsmoothmuscletoopenuptheairway.
Anti-inflammatoryagents
Inhibitingthedevelopmentofairwayinflammationandstoppingongoinginflammation.

Incombination,treatandpreventreversibleairwayobstructionandairwayhyperresponsiveness,relievethesymptomanddecreasetheexacerbation.Long-termcontrolmedication(Controller)
Corticosteriods
Cromolyn/nedocromil
Longactingb2agonists(LABA)
Leukotrienemodifier
Quickreliefmedication(Rescuer)
Short-actingb2agonists
Theophylline
Anticholinergics
SystemicCorticosteriodsStepwisemanagementofasthmainadultsStepwisemanagementofasthmainadultsStepwisemanagementofasthmainadultsStepwisemanagementofasthmainadultsStepwisemanagementofasthmainadultsStepwisemanagementofasthmain