支气管哮喘的诊断和治疗55课件.ppt

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关键词：: 支气管哮喘诊断治疗 55 课件

资源描述：: 1、过敏史，环境（工作生活等）过敏史，环境（工作生活等）周期性周期性几个概念u FVCuVCuFEV1uFEV1/FVCuTLCuRV Global Initiative for Asthma(1995)60040020000123456时间时间(days)PEF(L)after bdbefore bd uncontrolled asthma with within and between-day variation note response of a reduced morning PEF to a bronchodilator(bd)u Global Initiative for Asth
2、ma 肺功能检查肺功能检查哮喘评价哮喘评价气气流流受受阻阻导导致致各各种种症症状状Global Initiative for Asthma Global Initiative for Asthma 症状症状夜间症状夜间症状 PEFPEF 四级四级连续有症状连续有症状频繁频繁 =30%30%三级三级每日有症状每日有症状 11次次/周周预计值的预计值的60%60%中度持续中度持续每日应用每日应用b2b2激动剂激动剂 30%30%二级二级 1 1次次/周周 22次次/月月 =预计值的预计值的80%80%轻度持续轻度持续但但1=预计值的预计值的80%80%间歇发作间
3、歇发作发作间歇无症状，发作间歇无症状，PEFPEF正常正常,变异率变异率20%20%病病人人出出现现任任何何一一个个严严重重度度的的征征象，象，就就足足够够将将病病人人归归入入该该一一级级内内教育教育评价和监评价和监护护哮喘哮喘避免诱因避免诱因急性发作急性发作的治疗计的治疗计划划规律随访规律随访Global Initiative for Asthma 建立个人建立个人诊治计划诊治计划 u Global Initiative for Asthma(1995)Global Initiative for Asthma Global Initiati
4、ve for Asthma Global Initiative for Asthma u u u u Global Initiative for Asthma 思考题u支气管哮喘的肺功能特点u支气管哮喘的分级u哮喘管理计划组成u部部分分病病人人控控制制不不满满意的可能原因意的可能原因u哮哮喘喘用用药药原原则则lWoZr%u(x+B2E6H9KcOfRiUmXp!s&v)z0C3F7IaMdPgSkVnYq$t*x-A1D5G8JbNeQiTlWo#r%u(y+B3E6H9LcOfRjUmYp!s&w)z0C4F7IaMdPhSkVnZq$t*x-A2D5G8KbNeQ
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