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慢性阻塞性肺疾病急性加重的管理新进展。

Recent Advances in the Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease.

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY 10029, USA.

Division of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY 10029, USA.

出版信息

Med Clin North Am. 2020 Jul;104(4):615-630. doi: 10.1016/j.mcna.2020.02.003.

DOI:10.1016/j.mcna.2020.02.003
PMID:32505256
Abstract

Chronic obstructive pulmonary disease is a chronic, irreversible obstructive lung disease that results from exposure to noxious stimuli. Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) usually result from viral or bacterial respiratory infections, but may also result from exposure to environmental pollution. AECOPD are associated with functional decline, increased risk of subsequent exacerbations, and death. Despite the poor prognosis of AECOPD, patients are empowered through self-management programs in their battle against this lethal disease. Morbidity and mortality of chronic obstructive pulmonary disease hospitalizations are reduced by implementing standardized treatment modalities outlined in this article throughout the hospitalization and beyond.

摘要

慢性阻塞性肺疾病是一种由有害刺激物暴露引起的慢性、不可逆的阻塞性肺部疾病。慢性阻塞性肺疾病急性加重(AECOPD)通常由病毒或细菌呼吸道感染引起,但也可能由暴露于环境污染引起。AECOPD 与功能下降、随后加重的风险增加和死亡有关。尽管 AECOPD 的预后较差,但通过自我管理计划,患者在与这种致命疾病的斗争中获得了力量。通过在整个住院期间和出院后实施本文中概述的标准化治疗方式,可以降低慢性阻塞性肺疾病住院患者的发病率和死亡率。

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