Drain C B
Virginia Commonwealth University, School of Allied Health Professions, Richmond, USA.
CRNA. 1996 Nov;7(4):207-12.
The clinical characteristics of reactive airways disease have been recognized for centuries. Any bronchospastic respiratory disease process that has a degree of reversibility can be considered a reactive airways disease. More specifically, any of the chronic obstructive pulmonary disease components--asthma, emphysema, and chronic bronchitis--that are reversible can be considered a form of reactive airways disease. Asthma is the prototypical reactive airways disease. Accounts of asthmatic symptoms have appeared in the medical literature from the time of Hippocrates. In fact, the word asthma is derived from the Greek word "asthma," which means panting. Certainly, the anesthetic management of a patient with asthma can be challenging for the anesthetist. Serious complications, of which 75% are pulmonary, can occur both during and after surgery.
反应性气道疾病的临床特征已被认识数百年。任何具有一定可逆性程度的支气管痉挛性呼吸系统疾病过程都可被视为反应性气道疾病。更具体地说，慢性阻塞性肺疾病的任何组成部分——哮喘、肺气肿和慢性支气管炎——只要是可逆的，都可被视为反应性气道疾病的一种形式。哮喘是典型的反应性气道疾病。自希波克拉底时代起，医学文献中就有哮喘症状的记载。事实上，“哮喘”这个词源自希腊语“asthma”，意思是气喘。当然，哮喘患者的麻醉管理对麻醉师来说可能具有挑战性。手术期间和术后都可能发生严重并发症，其中75%是肺部并发症。
