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2024年4月中国重庆市一场雷暴哮喘事件的调查

Investigation of a Thunderstorm Asthma Event - Chongqing Municipality, China, April 2024.

作者信息

Yi Guangzhao, Yang Lin, Hu Guilin, Xiong Yu, Wang Zhongjie, Zeng Qianqian, Qi Li, Long Jiang

机构信息

The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Chongqing Center for Disease Control and Prevention, Chongqing, China.

出版信息

China CDC Wkly. 2025 Jul 4;7(27):926-930. doi: 10.46234/ccdcw2025.155.

DOI:10.46234/ccdcw2025.155
PMID:40672985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12259383/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Thunderstorm asthma (TA) is triggered by specific severe convective weather conditions and elevated airborne allergen concentrations, leading to a rapid increase in asthma cases within a short period. Three TA incidents have been previously reported in China, occurring in Shaanxi, Ningxia, and Inner Mongolia.

WHAT IS ADDED BY THIS REPORT?: We report the first documented thunderstorm asthma event (TAE) in Chongqing, China, and conducted a case-control study revealing that allergic rhinitis is an independent risk factor among susceptible individuals.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Health organizations should conduct targeted health education for at-risk populations to improve public emergency response capabilities. Further studies are needed to investigate the meteorological conditions leading to TAE.

摘要

关于该主题已知的信息有哪些?:雷暴性哮喘(TA)由特定的强对流天气条件和空气中过敏原浓度升高引发,导致短时间内哮喘病例迅速增加。此前中国已报告三起TA事件,分别发生在陕西、宁夏和内蒙古。

本报告补充了哪些内容?:我们报告了中国重庆首例有记录的雷暴性哮喘事件(TAE),并开展了一项病例对照研究,结果显示变应性鼻炎是易感人群中的一个独立危险因素。

对公共卫生实践有哪些启示?:卫生组织应对高危人群开展有针对性的健康教育,以提高公众应急反应能力。需要进一步研究以调查导致TAE的气象条件。

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本文引用的文献

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Epidemic thunderstorm asthma in Hohhot, Northern China: A retrospective analysis of clinical characteristics in 155 patients.中国北方呼和浩特市的流行性雷暴哮喘:155例患者临床特征的回顾性分析
J Allergy Clin Immunol Pract. 2024 Sep;12(9):2514-2516.e1. doi: 10.1016/j.jaip.2024.06.012. Epub 2024 Jun 17.
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Thunderstorm Asthma and Climate Change.雷暴哮喘与气候变化
JAMA. 2024 Mar 12;331(10):878-879. doi: 10.1001/jama.2023.26649.
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Thunderstorm asthma in seasonal allergic rhinitis: The TAISAR study.季节性变应性鼻炎的雷暴性哮喘:TAISAR 研究。
J Allergy Clin Immunol. 2022 May;149(5):1607-1616. doi: 10.1016/j.jaci.2021.10.028. Epub 2021 Nov 11.
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Emergency Visits for Thunderstorm-Related Respiratory Illnesses Among Older Adults.老年人因雷暴相关呼吸道疾病的急诊就诊情况。
JAMA Intern Med. 2020 Sep 1;180(9):1248-1250. doi: 10.1001/jamainternmed.2020.1672.
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Retrospective analysis of epidemic thunderstorm asthma in children in Yulin, northwest China.中国西北榆林地区儿童流行性雷暴哮喘的回顾性分析。
Pediatr Res. 2021 Mar;89(4):958-961. doi: 10.1038/s41390-020-0980-9. Epub 2020 May 26.
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Thunderstorm-related asthma attacks.与雷暴相关的哮喘发作。
J Allergy Clin Immunol. 2017 Jun;139(6):1786-1787. doi: 10.1016/j.jaci.2017.03.003. Epub 2017 Mar 23.
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Asthma outbreak during a thunderstorm.雷暴期间哮喘病爆发。
Lancet. 1985 Jul 27;2(8448):199-204. doi: 10.1016/s0140-6736(85)91510-7.