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慢性阻塞性肺病2
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慢性阻塞性肺病2

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  • 1. 慢性阻塞性肺病 Chronic Obstructive Pulmonary Disease Speaker: 马圣念 屠瑾 夏金欢
  • 2. How we breathe? • 上呼吸道以环状 软骨为分界 • 口、鼻、咽、喉 只是通道 • 最容易发生感染 的地方
  • 3. How we breathe? • 我们叫它气管树 (Bronchial Tree) • 它仍然只是通道 • COPD的病变处
  • 4. How we breathe? • 呼吸道的终末部位 • 进行气体交换 • COPD可以通过代 偿引起它的形态学 改变
  • 5. How we breathe?
  • 6. How we breathe?
  • 7. What is COPD? 慢性阻塞性肺疾病, 使得气流进出肺部阻力增 加,气道对有害物质产生 异常发炎反应,引起多种 呼吸症状的疾病。通常包 括肺气肿、慢性支气管炎 、部份的慢性气喘病况等
  • 8. What is COPD? • 肺气肿 • 慢性支气管炎 • 部份的慢性气喘 Chronic obstructive pulmonary disease includes emphysema and chronic bronchitis characterized by bronchospasm and dyspnea.
  • 9. COPD: Signs & Symptoms • 复发性感染 • 慢性的咳嗽咳痰 • 呼吸时伴哮鸣声 • 需要用力呼吸 • 胸闷
  • 10. • 吸烟:肺部弹性回缩 力功能下降 • 感染:下呼吸道感染 • 气候:气管收缩吸入 干冷的空气 • 遗传
  • 11. How can that be?
  • 12. How can that be? Healthy Damaged
  • 13. How can that be? 我们拿针筒来做个小实验(口香糖、针头)
  • 14. How to diagnosis?
  • 15. How to diagnosis? • 肺功能测试,夹 鼻,含吸管,用 最大的力气快速 且完整的吐气 • 肺活量,第一秒 吐气量(FEV1) 以及吐气速度, 从而了解是否有 气流阻塞的现象
  • 16. What can we do? 慢性阻塞性肺病是消耗性疾病 COPD: A catabolic “wasting” disease
  • 17. COPD: Carbohydrates • CHO produce the most CO2 during metabolism • CHO should be 40% of intake • Complex CHO best
  • 18. COPD: Fats and Proteins • Need at least 30% of calories from fat, whole dairy encouraged • Need 30% from protein
  • 19. COPD: Fruits and Vegetables • Antioxidants • Vitamin C • Calcium, Vitamin D • Phosphorus
  • 20. Respiratory function training 缩唇呼吸:通过缩唇形成微弱阻力来延长呼 气时间,增加气道压力,延缓气道塌陷。 吸气与呼气时间比为1:2或1:3
  • 21. Focus on complications
  • 22. Pulmonary heart disease
  • 23. Secondary infection 刷牙很重要,一天不刷牙你 的嘴巴里面将会布满了恶心 的细菌,这些细菌对于免疫 力不好的人来说.. 根本就是颗定时炸弹 研究已经证实可以降低呼吸 器相关肺炎(VAP) Adapted from Chest 2009; 136: 433-9.
  • 24. Focus on prevention
  • 25. Recommended exercise 可以确信,游泳可以使你的肺足够的强壮。
  • 26. Quite Smoking Wayne McLaren Maureen Hamilton
  • 27. Quite Smoking Wayne McLaren Maureen Hamilton
  • 28. Please do not smoke!
  • 29. Thank you for attention 马圣念