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--> 00:02.331\n嗯，\n\n00:02.331 --> 00:04.906\n慢性阻塞性肺疾病。\n\n00:08.822 --> 00:11.272\n中国的Co、PD总患病率。\n\n00:14.574 --> 00:14.774\n嗯，\n\n00:15.524 --> 00:18.524\n男性女性还有一个总的。\n\n00:19.509 --> 00:21.708\n差不多是男性是十二点几，\n\n00:21.809 --> 00:24.009\n女性是5左右，\n\n00:24.309 --> 00:26.259\n总的患病率在8左右，\n\n00:26.659 --> 00:27.958\n8%左右，\n\n00:28.958 --> 00:33.708\n那么定义是COPD是一种常见的。\n\n00:34.539 --> 00:38.039\n可以预防和可以治疗的疾病，\n\n00:39.089 --> 00:43.138\n其特征是持续存在的气流受限。\n\n00:44.673 --> 00:45.574\n气流受限，\n\n00:45.773 --> 00:47.673\n呈进行性的发展。\n\n00:48.624 --> 00:49.973\n还有气道和肺。\n\n00:50.223 --> 00:52.874\n对有害颗粒或气体。\n\n00:54.209 --> 00:57.659\n所致的慢性炎症反应的增加。\n\n00:59.824 --> 01:02.124\n急性加重和合并症，\n\n01:02.473 --> 01:06.274\n影响患者整体疾病的严重程度。\n\n01:08.713 --> 01:11.914\n吸烟和其他有害颗粒的吸入，\n\n01:12.513 --> 01:21.814\n如生物燃料所致的肺部炎症是发生COPD的重要原因。\n\n01:23.362 --> 01:27.663\n这一慢性炎症反应诱发肺部实质的破坏。\n\n01:28.766 --> 01:34.266\n产生肺气肿损伤正常的修复和防御机制。\n\n01:35.125 --> 01:36.875\n造成小气道纤维化。\n\n01:38.299 --> 01:40.999\n这些病理学改变导致气体。\n\n01:42.039 --> 01:45.088\n线闭和进行性的气流受限。\n\n01:46.588 --> 01:50.738\n诱发呼吸困难和COPD的其他症状。\n\n01:52.372 --> 01:53.847\nCOPD发病机制。\n\n01:54.714 --> 01:57.065\n慢性炎症增强反应。\n\n01:59.072 --> 02:00.172\n有上皮细胞。\n\n02:02.074 --> 02:02.275\n嗯，\n\n02:02.324 --> 02:03.625\n肺巨噬细胞，\n\n02:03.974 --> 02:05.275\n成纤维细胞。\n\n02:06.142 --> 02:07.093\nT淋巴细胞。\n\n02:09.464 --> 02:12.065\n中性粒细胞、单核细胞等等。\n\n02:14.000 --> 02:14.699\n病理生理。\n\n02:15.942 --> 02:17.442\n这个气道重塑。\n\n02:18.408 --> 02:19.958\n到气道阻力增加，\n\n02:20.309 --> 02:21.809\n再到气流受限。\n\n02:22.763 --> 02:23.087\n废气。\n\n02:23.087 --> 02:25.462\n等到残气量增加。\n\n02:26.449 --> 02:27.899\n肺通气功能障碍。\n\n02:29.412 --> 02:31.863\n肺毛细血管床大量减少。\n\n02:32.746 --> 02:35.145\n到肺通气血流比例失调。\n\n02:37.106 --> 02:38.555\n肺血管阻力增加。\n\n02:40.274 --> 02:41.373\n到肺动脉高压，\n\n02:41.923 --> 02:43.373\n那么肺心病，\n\n02:43.373 --> 02:44.373\n心力衰竭。\n\n02:45.350 --> 02:46.501\n最后到呼吸衰竭。\n\n02:49.322 --> 02:51.022\n这个生活质量下降，\n\n02:51.621 --> 02:55.121\n他还会甚至丧失劳动能力。\n\n02:56.570 --> 02:58.169\n症状是慢性咳嗽。\n\n02:59.205 --> 02:59.555\n咳痰。\n\n03:00.710 --> 03:02.710\n气短或者呼吸困难。\n\n03:03.860 --> 03:05.009\n标志性症状。\n\n03:09.147 --> 03:09.322\n嗯，\n\n03:09.322 --> 03:11.697\n喘息和胸闷。\n\n03:13.276 --> 03:20.026\n晚期常有体重下降、食欲减退、精神抑郁或者焦虑。\n\n03:22.796 --> 03:23.770\nCOPD的诊断。\n\n03:28.223 --> 03:30.873\n考虑诊断COPD主要关键线索。\n\n03:32.720 --> 03:34.570\n年龄在40岁以上的人群，\n\n03:35.020 --> 03:36.619\n如果存在以下情况。\n\n03:37.636 --> 03:39.486\n应考虑这个COPD，\n\n03:39.886 --> 03:42.287\n并进一步进行肺功能检查。\n\n03:43.296 --> 03:46.847\n以下线索并不是诊断Co OPD所必需的。\n\n03:48.091 --> 03:50.315\n但如果符合越多，\n\n03:50.315 --> 03:51.641\nCOPD的可能性越大。\n\n03:52.822 --> 03:55.621\n确诊则需有肺功能检查结果。\n\n03:57.263 --> 03:57.863\n呼吸困难。\n\n03:59.604 --> 04:00.505\n进行性加重。\n\n04:01.798 --> 04:03.248\n通常在活动时加重。\n\n04:03.848 --> 04:05.048\n它持续存在。\n\n04:06.317 --> 04:11.466\n这个慢性咳嗽可为间歇性或无咳痰。\n\n04:12.772 --> 04:13.472\n慢性咳痰。\n\n04:14.376 --> 04:16.777\n可为任何类型的慢性咳痰。\n\n04:18.609 --> 04:31.910\n接触危险因素包括吸烟、家中烹饪时产生的油烟或者燃料产生的烟尘、职业粉尘和化学物质。\n\n04:34.255 --> 04:34.779\nCOPD,\n\n04:35.130 --> 04:39.329\n它这个诊断是需要肺功能支持，\n\n04:39.980 --> 04:42.779\n吸入支气管扩张剂以后。\n\n04:44.289 --> 04:45.789\n1秒率小于0.7。\n\n04:46.865 --> 04:49.365\n既存在明确的气流受限。\n\n04:50.183 --> 04:51.634\n可以诊断COPD。\n\n04:53.662 --> 04:56.138\nCOPD严重程度的肺功能分级。\n\n04:58.582 --> 04:59.682\n青度士第一集。\n\n05:00.803 --> 05:02.528\n第二级是中度啊，\n\n05:02.528 --> 05:03.903\n重度和极重度。\n\n05:05.867 --> 05:06.717\n那鉴别诊断。\n\n05:13.040 --> 05:15.415\n先看一下他鉴别诊断，\n\n05:15.415 --> 05:19.540\n有年龄、发作性家族史、过敏史。\n\n05:25.757 --> 05:27.632\n还有这个反复的咳，\n\n05:27.632 --> 05:28.657\n大量的浓痰。\n\n05:29.782 --> 05:30.433\n或者咯血。\n\n05:31.305 --> 05:34.156\n肺CT也可以是明确诊断的。\n\n05:39.312 --> 05:41.463\n我看一下这个COPD。\n\n05:42.794 --> 05:43.144\n它的。\n\n05:44.114 --> 05:46.065\n鉴别诊断还有支气管哮喘。\n\n05:47.118 --> 05:48.692\n以及咳嗽。\n\n05:48.692 --> 05:49.768\n变异性哮喘。\n\n05:51.588 --> 05:53.687\n那咳嗽的性质的改变。\n\n05:55.217 --> 05:56.217\n痰中带血。\n\n05:57.217 --> 06:00.667\n肺部的CT以及细胞学检查。\n\n06:03.364 --> 06:04.364\n还有肺结核。\n\n06:06.078 --> 06:07.627\n那么结核中毒的症状。\n\n06:08.669 --> 06:11.419\n痰中的抗酸杆菌胸片。\n\n06:13.089 --> 06:14.839\n都可以诊鉴别诊断。\n\n06:15.954 --> 06:18.253\n还有肺间质纤维化。\n\n06:20.126 --> 06:20.526\n气短。\n\n06:21.759 --> 06:25.158\n以及各种啰音低氧血症。\n\n06:26.726 --> 06:29.376\n还要鉴别嗜酸性、细胞性。\n\n06:30.281 --> 06:31.230\n这个支气管炎。\n\n06:32.765 --> 06:34.364\n二是他的慢性咳嗽的鉴别。\n\n06:35.914 --> 06:38.313\n刚才诊断中这个轻度的。\n\n06:39.658 --> 06:42.558\n一级的这个COPD它是诊断依据，\n\n06:42.908 --> 06:47.209\n它是这个一秒率小于70%。\n\n06:48.157 --> 06:52.507\n然后第一秒的大于80%的预计值。\n\n06:55.973 --> 06:56.174\n嗯，\n\n06:56.773 --> 06:58.523\n中度是第二度。\n\n06:59.960 --> 07:01.911\n是第一秒的呼气量。\n\n07:02.837 --> 07:04.812\n一秒率小也是小于70%，\n\n07:05.111 --> 07:10.161\n然后第一秒的呼吸量小于大于等于50%，\n\n07:10.212 --> 07:11.812\n小于80%，\n\n07:11.812 --> 07:12.562\n预计值。\n\n07:15.115 --> 07:16.765\n第三级是中度。\n\n07:17.735 --> 07:21.985\n重度重度是1秒率小于70%。\n\n07:23.712 --> 07:25.286\n以及一秒率啊，\n\n07:25.286 --> 07:30.212\n一一秒第一秒的呼气容积大于30%大于等于30%，\n\n07:30.261 --> 07:32.261\n小于50%预计值。\n\n07:33.915 --> 07:35.964\n第四度是极重度。\n\n07:36.864 --> 07:40.040\n集中度是一秒率小于70%，\n\n07:40.040 --> 07:45.214\n然后一秒第一秒的呼吸容积小于30%的预计值。\n\n07:46.083 --> 07:46.683\n是重点。\n\n07:48.970 --> 07:50.494\n再看一下它的并发症。\n\n07:52.661 --> 07:53.161\n并发症。\n\n07:55.264 --> 07:55.438\n嗯，\n\n07:55.438 --> 07:57.713\n刚刚他有一个核心要点。\n\n07:59.121 --> 08:01.170\n核心要点是典型的症状。\n\n08:01.621 --> 08:02.571\n典型症状。\n\n08:03.923 --> 08:04.622\n包括这个。\n\n08:05.936 --> 08:07.385\n慢性咳嗽、咳痰。\n\n08:08.427 --> 08:08.826\n气短，\n\n08:09.277 --> 08:10.177\n呼吸困难。\n\n08:11.885 --> 08:14.584\n晚期可以出现这喘息，\n\n08:15.035 --> 08:15.734\n胸闷，\n\n08:16.184 --> 08:17.184\n体重下降。\n\n08:18.424 --> 08:18.975\n法力。\n\n08:20.217 --> 08:20.518\n等等。\n\n08:22.230 --> 08:24.230\n他这个在主要病因当中，\n\n08:24.531 --> 08:28.080\n长期吸烟是最核心的一个病因。\n\n08:29.040 --> 08:29.140\n嗯，\n\n08:29.140 --> 08:30.040\n职业粉尘，\n\n08:30.290 --> 08:31.989\n化学物质暴露，\n\n08:32.440 --> 08:33.489\n空气污染。\n\n08:34.327 --> 08:36.526\n呼吸道反复感染、遗传。\n\n08:38.078 --> 08:42.028\n遗传因素主要是一个阿尔法一的抗胰蛋白酶缺乏。\n\n08:43.142 --> 08:43.392\n三。\n\n08:44.015 --> 08:47.065\n那么关键检查它是肺功能检查，\n\n08:47.065 --> 08:48.565\n是诊断的金标准。\n\n08:49.286 --> 08:58.486\n表现为1秒率小于70%以及它这个第一秒的呼气容积的。\n\n08:59.403 --> 09:00.453\n吸入舒张吸液，\n\n09:00.453 --> 09:03.302\n吸入支气管舒张气以后的第一秒，\n\n09:03.302 --> 09:04.903\n舒筋容积的改善情况。\n\n09:06.315 --> 09:06.815\n来诊断。\n\n09:08.156 --> 09:09.156\n那么他并发症。\n\n09:10.116 --> 09:12.966\n并发症有慢性呼吸衰竭。\n\n09:14.033 --> 09:15.132\n自发性气胸。\n\n09:16.111 --> 09:18.661\n慢性肺源性心脏病。\n\n09:22.695 --> 09:24.294\n慢性阻塞性肺疾病。\n\n09:25.437 --> 09:27.788\n全球倡议当中，\n\n09:27.788 --> 09:29.388\n这个god，\n\n09:29.437 --> 09:30.987\n2006的指南中，\n\n09:31.437 --> 09:33.937\n也是显示有轻度，\n\n09:33.937 --> 09:34.487\n中度，\n\n09:34.487 --> 09:38.237\n重度和非常非常的重度的这个。\n\n09:40.531 --> 09:41.130\n这种类型。\n\n09:42.596 --> 09:43.497\n他们治疗是，\n\n09:43.947 --> 09:44.346\n嗯。\n\n09:45.827 --> 09:47.151\n避免风险因素。\n\n09:47.151 --> 09:48.026\n接种疫苗。\n\n09:49.698 --> 09:52.749\n按需使用短效的支气管扩张剂。\n\n09:54.273 --> 10:01.372\n2°以上常规加入一个或多个长效支气管扩张剂加康复治疗。\n\n10:02.502 --> 10:03.252\n三度以上。\n\n10:04.693 --> 10:04.994\n但是，\n\n10:04.994 --> 10:07.393\n若有反复的急性发作。\n\n10:08.664 --> 10:10.263\n加硒、糖皮质激素。\n\n10:11.502 --> 10:12.302\n四级的话，\n\n10:12.302 --> 10:16.151\n如有慢性呼吸衰竭加长期氧疗，\n\n10:16.651 --> 10:18.401\n要考虑手术治疗。\n\n10:20.284 --> 10:26.335\n那么在2002011年的高德的COPD治疗事例中的药物治疗中。\n\n10:28.942 --> 10:30.942\n它是分为低危。\n\n10:32.184 --> 10:33.533\n分为ABCD组，\n\n10:33.934 --> 10:37.434\n然后还分为低危、中低危和高危。\n\n10:39.182 --> 10:41.281\n那么在治疗原则当中。\n\n10:42.244 --> 10:48.594\n这个吸烟是有害有害的一个环境。\n\n10:49.528 --> 10:51.877\n那么首先是要进行干预。\n\n10:52.849 --> 10:55.799\n那么第二是在药物治疗方面。\n\n10:56.780 --> 10:57.580\n药物治疗方面，\n\n10:57.580 --> 11:00.130\n支气管舒张剂的核心。\n\n11:01.491 --> 11:03.741\n然后吸入性的糖皮质激素。\n\n11:04.585 --> 11:06.335\n以及祛痰药。\n\n11:07.937 --> 11:09.987\n以吸入给药的方式为主。\n\n11:11.528 --> 11:13.679\n那么三是对症治疗。\n\n11:15.158 --> 11:15.708\n对症治疗，\n\n11:15.708 --> 11:18.057\n有氧吸氧啊，\n\n11:18.057 --> 11:22.757\n静息状态下低氧血症者呼吸康复训练。\n\n11:23.786 --> 11:24.536\n预防感染，\n\n11:25.135 --> 11:27.335\n接种流感、肺炎疫苗。\n\n11:28.421 --> 11:33.421\n急性加重期第四期是急性加重期的感染。\n\n11:34.242 --> 11:34.942\n的治疗。\n\n11:36.091 --> 11:44.241\n然后是一个是抗感染、无创有创的通气以及解痉平喘等综合治疗。\n\n11:47.572 --> 11:48.396\n嗯，\n\n11:48.396 --> 11:48.771\nCOPD呢，\n\n11:48.771 --> 11:50.671\n它是无法根治的。\n\n11:51.492 --> 11:52.742\n但早期干预，\n\n11:52.942 --> 11:53.942\n规范管理，\n\n11:53.942 --> 11:56.492\n它是可以显著延缓病情进展，\n\n11:56.942 --> 11:58.841\n降低急性加重风险，\n\n11:59.192 --> 12:00.591\n提高生活质量。\n\n12:01.429 --> 12:02.828\n长期吸烟人群，\n\n12:03.129 --> 12:05.028\n有慢性咳嗽、咳痰者。\n\n12:06.112 --> 12:07.213\n建议定期。\n\n12:09.880 --> 12:10.979\n做肺功能检查。\n\n12:15.361 --> 12:15.710\n嗯。\n\n12:19.669 --> 12:21.443\n那首选的药物看一下，\n\n12:21.443 --> 12:22.419\n在分组当中，\n\n12:22.818 --> 12:25.268\n如果病人分组在A组当中。\n\n12:26.122 --> 12:28.721\n正常的低危组属于症状少。\n\n12:30.025 --> 12:30.174\n嗯，\n\n12:30.174 --> 12:33.224\n首选一个sa+sa巴。\n\n12:34.471 --> 12:36.072\n首选代替的药物是。\n\n12:37.049 --> 12:38.250\n萨玛和萨巴，\n\n12:38.250 --> 12:39.400\n或者拉玛，\n\n12:39.400 --> 12:41.250\n或者拉玛拉巴。\n\n12:42.812 --> 12:45.312\n那如果是在一个B组当中，\n\n12:45.312 --> 12:46.562\n分在B组当中。\n\n12:47.526 --> 12:51.026\n在低危或者较多症状中。\n\n12:51.784 --> 12:54.484\n首选治疗是拉玛或者拉巴。\n\n12:56.125 --> 12:59.125\n首选替代药物是拉玛和拉巴。\n\n13:01.023 --> 13:01.549\n如果分组，\n\n13:01.549 --> 13:02.823\n在C组当中，\n\n13:02.874 --> 13:06.374\n它是属于高危较少症状。\n\n13:09.096 --> 13:10.846\n他首选治疗是一个拉玛，\n\n13:11.145 --> 13:14.046\n或者拉巴和激素ICS。\n\n13:16.536 --> 13:19.536\n首选替代药物是拉玛和拉巴。\n\n13:20.721 --> 13:24.171\n分组在D组当中高危较多症状的话。\n\n13:24.989 --> 13:26.239\n那首选的用药是？\n\n13:27.719 --> 13:30.869\n拉巴拉玛和拉巴和is。\n\n13:32.799 --> 13:33.650\n备用药物是。\n\n13:34.984 --> 13:38.934\n拉玛和ICS加拉巴联合用药。\n\n13:41.719 --> 13:44.969\n那如果是一个COPD的急性加重期的治疗。\n\n13:47.460 --> 13:50.760\n那首先确定这个COPD急性加重的原因。\n\n13:52.026 --> 13:55.476\n第二是COPD急性加重的诊断和严重性。\n\n13:58.163 --> 14:00.763\n然后在院外治疗和住院治疗。\n\n14:00.963 --> 14:07.112\n住院治疗是要根据加重经急性加重期的主要治疗方案，\n\n14:07.312 --> 14:10.862\n根据血气分析、胸片以及症状。\n\n14:12.023 --> 14:13.323\n进行病情评估。\n\n14:14.424 --> 14:16.073\n第二个是控制性的氧疗，\n\n14:16.874 --> 14:18.073\n还有抗生素。\n\n14:19.275 --> 14:20.674\n支气管扩张剂。\n\n14:21.869 --> 14:22.719\n糖皮质激素。\n\n14:23.913 --> 14:28.013\n以及机械通气和其他的一些治疗措施。\n\n14:30.174 --> 14:32.674\n那么COPD的这个预防。\n\n14:33.901 --> 14:35.700\n避免吸烟啊，\n\n14:36.301 --> 14:37.301\n还有戒烟，\n\n14:37.301 --> 14:40.901\n避免减少有害气体粉尘的吸入。\n\n14:42.081 --> 14:43.382\n预防呼吸道感染。\n\n14:45.461 --> 14:47.911\n对慢支进行通气功能监测。\n\n14:50.116 --> 14:51.166\n避免环境污染。\n\n14:52.096 --> 14:52.497\n加强。\n\n14:53.931 --> 14:54.580\n卫生宣教，\n\n14:55.031 --> 14:56.080\n加强营养。\n\n14:57.973 --> 14:58.273\n还有。\n\n14:59.932 --> 15:02.632\n他这个合并症一般是有合并症。\n\n15:04.221 --> 15:06.145\n合并症主要心血管疾病啊，\n\n15:06.145 --> 15:07.096\n骨质疏松啊，\n\n15:07.096 --> 15:07.620\n抑郁，\n\n15:07.820 --> 15:08.921\n还有肺癌等。\n\n15:10.356 --> 15:10.906\n那么总结，\n\n15:11.205 --> 15:15.755\n目前尚没有药物可以改变肺功能长期降低的现实，\n\n15:16.005 --> 15:17.556\n这是COPD的特征。\n\n15:17.955 --> 15:18.422\n因此，\n\n15:18.422 --> 15:20.431\n在治疗COPD，\n\n15:20.431 --> 15:24.755\n药物仅用于减少症状和急性加重或者并发症。\n\n15:27.005 --> 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