copd英文课课件.ppt

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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