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--> 00:06.374\n我是上海市第一人民医院的朱顺，\n\n00:06.724 --> 00:10.673\n今天我来跟大家讲一下职业性哮喘的讲座。\n\n00:11.618 --> 00:11.968\n嗯。\n\n00:14.027 --> 00:19.027\n我会通过大概十个方面来讲解这次的内容。\n\n00:24.166 --> 00:27.891\n其中比较重要的是一个疾病的概述，\n\n00:27.891 --> 00:31.965\n病因与发病机制、流行病学、临床表现。\n\n00:33.751 --> 00:36.902\n10其次是鉴诊断与鉴别诊断，\n\n00:37.251 --> 00:38.451\n治疗与预后，\n\n00:39.301 --> 00:40.902\n预防与控制，\n\n00:41.701 --> 00:42.801\n病案分享，\n\n00:43.251 --> 00:44.852\n总结与答疑。\n\n00:47.881 --> 00:52.030\n封面与目录首先，\n\n00:52.480 --> 00:52.855\n嗯，\n\n00:52.855 --> 01:01.381\n职业性肺病、职业性哮喘场景往往出现在工厂或实验室。\n\n01:03.647 --> 01:07.273\n疾病的概述，\n\n01:07.273 --> 01:08.947\n职业性哮喘的定义，\n\n01:08.998 --> 01:13.097\n工作中吸入特定物质导致气道阻塞。\n\n01:14.069 --> 01:14.620\n别名，\n\n01:14.919 --> 01:16.694\n工作相相关性，\n\n01:16.694 --> 01:20.470\n哮喘气道高反应性类型，\n\n01:20.919 --> 01:21.819\n过敏性，\n\n01:21.919 --> 01:26.419\n非过敏性历史与研究进展，\n\n01:26.970 --> 01:28.470\n最早描述时间，\n\n01:28.669 --> 01:31.370\n于18世纪确认时间，\n\n01:31.669 --> 01:34.970\n20世纪中期研究进展。\n\n01:35.519 --> 01:37.019\n致敏物质的识别，\n\n01:37.220 --> 01:38.919\n诊断技术的改进。\n\n01:41.922 --> 01:44.623\n然后我们看一下病因与发病机制。\n\n01:46.531 --> 01:47.681\n病因分析。\n\n01:48.384 --> 01:50.333\n常见的致敏物质。\n\n01:52.219 --> 01:59.219\n分成几类肠病菌的致敏物质有异氰酸酯。\n\n02:00.000 --> 02:10.050\n面粉、木材、粉尘等刺激性物质往往有氯气、氨气、二氧化硫。\n\n02:11.100 --> 02:18.649\n职业的高高危的职业往往有化工、面包师、木工等等。\n\n02:24.557 --> 02:26.582\n我们再看一下发病机制。\n\n02:29.505 --> 02:34.606\n过敏性的机制有IGE介导释放组胺等介质。\n\n02:35.406 --> 02:41.255\n非过敏性机制有刺激性的物质损伤气道黏膜。\n\n02:42.505 --> 02:42.955\n然后，\n\n02:42.955 --> 02:44.505\n气道高反应性，\n\n02:44.505 --> 02:47.406\n气道对刺激物过度收缩，\n\n02:47.656 --> 02:49.856\n导致了一个气道的高反应。\n\n02:53.421 --> 02:54.121\n病理变化。\n\n02:55.925 --> 02:58.526\n首先它会产生气道炎症，\n\n02:59.126 --> 03:02.925\n导致嗜酸性粒细胞和淋巴细胞的浸润，\n\n03:03.776 --> 03:05.725\n其次是气道重塑，\n\n03:06.475 --> 03:08.925\n会导致平滑肌增生，\n\n03:09.526 --> 03:10.925\n基底膜增厚。\n\n03:13.126 --> 03:15.401\n最终导致肺功能的损害，\n\n03:16.251 --> 03:20.151\n慢性炎症会导致肺功能的不可逆的损害。\n\n03:25.177 --> 03:27.977\n4我们再来讲一下流行病学。\n\n03:30.570 --> 03:34.145\n发病率与高危人群发病率，\n\n03:34.145 --> 03:39.044\n它占所有哮喘病例中的10%.25%。\n\n03:39.794 --> 03:40.395\n然后，\n\n03:40.395 --> 03:43.195\n高危人群就是有化工厂的工人，\n\n03:43.645 --> 03:44.544\n面包师。\n\n03:45.244 --> 03:48.645\n因为面包师制作面包的时候一直接触面粉嘛，\n\n03:48.945 --> 03:53.744\n木工木工是在锯木头什么的时候会大量的吸入木屑。\n\n03:55.462 --> 03:57.011\n另外一些高危人群，\n\n03:57.261 --> 03:58.561\n比如说有兽医，\n\n03:58.662 --> 03:59.287\n兽医，\n\n03:59.287 --> 04:04.561\n他们可能会接触动物身上的虫螨之类的实验室的工作人员。\n\n04:06.156 --> 04:06.406\n嗯。\n\n04:08.233 --> 04:14.059\n实验室的工作人员可能会因接触一些化学试剂、实验试剂等等。\n\n04:17.420 --> 04:19.470\n地区与分布原因，\n\n04:19.970 --> 04:23.619\n高发地区是在一些工业化程度比较高的地区，\n\n04:23.920 --> 04:25.945\n其实这也可以很很好理解，\n\n04:25.945 --> 04:27.670\n因为工业化地区越高，\n\n04:27.820 --> 04:31.220\n那么它的化工厂、实验室相对也就更多。\n\n04:33.541 --> 04:36.641\n它导致的原因往往是因为防护措施不足，\n\n04:36.891 --> 04:39.742\n暴露浓度高而引起的。\n\n04:43.848 --> 04:45.898\n然后我们来看一下临床表现，\n\n04:47.049 --> 04:48.648\n急性期的症状。\n\n04:50.552 --> 04:53.652\n急性期症状往往有喘息性的咳嗽，\n\n04:54.402 --> 04:58.652\n接触致敏物质后数分钟或数小时会出现。\n\n05:00.630 --> 05:02.929\n胸闷和呼吸困难，\n\n05:03.429 --> 05:07.179\n夜间和清晨的时候症状往往会更重一些。\n\n05:10.419 --> 05:10.644\n然后，\n\n05:10.644 --> 05:12.669\n症状在急性期的时候，\n\n05:12.819 --> 05:14.794\n症状如果脱离暴露的话，\n\n05:14.794 --> 05:15.968\n往往可以缓解。\n\n05:16.269 --> 05:16.769\n其实，\n\n05:16.769 --> 05:18.618\n这个就是急性期的症状。\n\n05:18.868 --> 05:20.468\n急性期症状的时候，\n\n05:20.718 --> 05:23.169\n往往咳嗽会是首发症状，\n\n05:23.419 --> 05:24.718\n这个会比较明显。\n\n05:25.169 --> 05:26.319\n之后严重的话，\n\n05:26.319 --> 05:28.544\n会出现胸闷、呼吸困难，\n\n05:28.544 --> 05:32.618\n这是气道进一步的收缩而引起的一个通气障碍。\n\n05:33.169 --> 05:33.819\n但是，\n\n05:33.819 --> 05:36.743\n往往脱离了过敏环境之后，\n\n05:36.743 --> 05:38.819\n症状往往可以得到缓解。\n\n05:41.981 --> 05:42.657\n慢性症状，\n\n05:42.657 --> 05:43.932\n慢性期症状，\n\n05:44.481 --> 05:46.631\n持续性的咳嗽，\n\n05:46.682 --> 05:50.631\n持续性的咳嗽在长时间之后，\n\n05:50.981 --> 05:54.106\n晚期可能会发展成COPD，\n\n05:54.106 --> 05:57.631\n这个就对会对肺造成不可逆的损害。\n\n05:59.330 --> 06:02.430\n夜间喘息会导致一个肺功能的下降。\n\n06:05.687 --> 06:07.187\n肺功能下降之后。\n\n06:09.544 --> 06:12.894\n那往往患者就会出现胸闷、气促等情况，\n\n06:13.593 --> 06:18.843\n最后肺功能的损害就是因为长期的损害不可逆的，\n\n06:18.843 --> 06:20.944\n造成了长期不可逆的损害，\n\n06:21.144 --> 06:23.493\n而导致了肺功能的损伤，\n\n06:23.694 --> 06:25.743\n而导致肺功能无法恢复。\n\n06:25.894 --> 06:28.593\n最后就需要长期治疗。\n\n06:30.977 --> 06:32.328\n影像学的表现，\n\n06:32.528 --> 06:33.778\n肺纹理增粗，\n\n06:34.028 --> 06:40.627\nX线或CT的检查可以看到肺上面出现一些肺纹理增粗，\n\n06:41.328 --> 06:43.328\n而进一步的损害之后，\n\n06:43.328 --> 06:45.028\n会引起一个肺气肿。\n\n06:45.028 --> 06:50.328\n就是你气气道狭窄之后导致肺泡的破坏啊，\n\n06:50.377 --> 06:56.428\n这个肺气肿的表现往往就会最后最终就会发展成AECOPD，\n\n06:56.477 --> 07:00.153\n这个就会对肺造成COPD，\n\n07:00.153 --> 07:01.377\n造成肺的不可逆。\n\n07:01.451 --> 07:02.052\n你的伤害。\n\n07:05.623 --> 07:06.074\n之后，\n\n07:06.074 --> 07:08.623\n接下来我们看一下诊断与鉴别诊断。\n\n07:09.701 --> 07:15.402\n诊断标准首先肯定是要有一个明确的一个职业暴露史。\n\n07:15.502 --> 07:20.002\n患者的职业如果是会暴露于致敏原中，\n\n07:20.002 --> 07:20.652\n那么呢，\n\n07:20.802 --> 07:23.726\n首先就要考虑它不是普通的哮喘，\n\n07:23.726 --> 07:27.451\n而是职业性哮喘之后有典型的症状，\n\n07:27.451 --> 07:29.052\n喘息、咳嗽、胸闷，\n\n07:29.252 --> 07:31.027\n这个就是肺炎啊，\n\n07:31.027 --> 07:31.427\n不不，\n\n07:31.427 --> 07:32.652\n这是哮喘，\n\n07:32.652 --> 07:34.127\n在不同情况，\n\n07:34.127 --> 07:38.552\n这是哮喘的发生发生和发展，\n\n07:38.752 --> 07:39.451\n这个和。\n\n07:39.768 --> 07:41.518\n普通的哮喘其实比较接近。\n\n07:42.804 --> 07:45.154\n肺功能检测的异常，\n\n07:45.154 --> 07:46.105\nFEV五下降，\n\n07:46.105 --> 07:48.054\n支气管舒张实验阳性，\n\n07:48.355 --> 07:51.355\n这个其实也就是一个哮喘的一个诊断标准。\n\n07:51.804 --> 07:56.005\n但是哮喘的实验室实验室检测，\n\n07:56.454 --> 07:59.654\n但是这个往往还需要结合患者的职业史，\n\n08:00.105 --> 08:05.792\n通过职业史和这些相关的检测来明确患者他是是，\n\n08:05.792 --> 08:07.554\n他是一个职业性的哮喘。\n\n08:11.678 --> 08:16.502\n鉴别诊断的要点与普通的哮喘普通哮喘相间。\n\n08:16.502 --> 08:20.727\n鉴别需要结合职业史和过敏原的检测。\n\n08:21.429 --> 08:21.829\n好。\n\n08:22.446 --> 08:24.795\n与Co OPD的鉴别，\n\n08:24.795 --> 08:27.895\nCOPD多为不可逆的气流的受限。\n\n08:30.305 --> 08:30.906\n首先，\n\n08:30.906 --> 08:32.906\n结合了实验室职业史，\n\n08:32.955 --> 08:35.755\n往往就可以诊断和他的过敏原，\n\n08:35.955 --> 08:40.031\n就可以诊断出是不是他职业所接触的这些东西导致的。\n\n08:40.031 --> 08:48.306\n他的哮喘与COPD的诊鉴别就是COPD是不可逆的气流受限，\n\n08:48.306 --> 08:52.806\n而哮喘在早职业性哮喘在早期它往往是可逆的，\n\n08:52.806 --> 08:54.531\n但是发展到晚期之后，\n\n08:54.531 --> 08:56.255\n它也会不可逆的损伤。\n\n08:59.046 --> 09:01.645\n诊断工具的介绍有肺功能的测试，\n\n09:01.945 --> 09:06.445\n这是评估气道梗阻的程度啊。\n\n09:06.445 --> 09:08.745\n还有过敏原的检测，\n\n09:09.445 --> 09:12.346\n检测特异性IGE抗原抗体。\n\n09:14.643 --> 09:19.242\n支气管激发实验诊断职业性哮喘的金标准。\n\n09:22.151 --> 09:23.302\n治疗与预后，\n\n09:23.752 --> 09:25.252\n治疗原则与方法，\n\n09:25.752 --> 09:28.752\n首先最重要的肯定是脱离环境，\n\n09:28.752 --> 09:29.702\n致命环境，\n\n09:30.052 --> 09:31.101\n避免接触，\n\n09:31.101 --> 09:33.101\n进一步的再接触致敏物质，\n\n09:33.101 --> 09:35.802\n这个是治整个所有治疗的基础。\n\n09:36.651 --> 09:38.502\n其次是药物治疗。\n\n09:39.111 --> 09:44.937\n支气管扩张剂、糖皮质激素等控制症状药物，\n\n09:44.937 --> 09:47.611\n可以通过药物治疗，\n\n09:47.611 --> 09:52.461\n使用支气管扩张剂、糖皮质激素等来控制患者的症状。\n\n09:52.861 --> 09:53.562\n氧疗，\n\n09:54.012 --> 09:56.961\n改善低氧血症辅助治疗。\n\n09:58.588 --> 09:58.864\n嗯，\n\n09:58.864 --> 10:01.088\n通过吸氧来改善低氧血症。\n\n10:02.439 --> 10:02.939\n然后，\n\n10:02.939 --> 10:06.888\n我们看一下常见的一些药物有支气管扩张剂，\n\n10:06.939 --> 10:08.439\n像沙丁胺醇啊，\n\n10:08.439 --> 10:10.189\n它可以缓解急性症状。\n\n10:10.638 --> 10:13.338\n糖皮质激素有布地奈德，\n\n10:13.388 --> 10:14.939\n控制气道炎症。\n\n10:19.271 --> 10:21.921\n往往这两类药物是比较常用的，\n\n10:22.122 --> 10:25.072\n这个和哮喘的治疗其实也是一致的。\n\n10:30.661 --> 10:31.762\n预后与生存率，\n\n10:32.111 --> 10:35.062\n这个其实前面已经说到了，\n\n10:35.111 --> 10:36.961\n早期治疗的话，\n\n10:37.012 --> 10:38.361\n预后往往较好，\n\n10:38.461 --> 10:42.762\n需要脱离暴露并早进行早期治疗，\n\n10:42.861 --> 10:44.911\n这种预后往往更好一些。\n\n10:45.411 --> 10:47.661\n慢性期的预后往往比较差，\n\n10:48.012 --> 10:50.562\n慢性肺功能的损害往往不可逆，\n\n10:50.661 --> 10:52.062\n会影响生存率。\n\n10:54.278 --> 10:54.528\n嗯。\n\n10:58.638 --> 10:58.838\n嗯，\n\n10:59.388 --> 11:04.187\n八预防与控制首先需要改善工作环境，\n\n11:04.187 --> 11:05.237\n加强通风。\n\n11:05.638 --> 11:10.187\n加强通风的目的就是降低工作环境中致敏源的浓度，\n\n11:10.838 --> 11:12.888\n然后使用除尘设备。\n\n11:13.437 --> 11:16.987\n这它的目的就是使用除尘设备的目的，\n\n11:16.987 --> 11:19.838\n就是为了减少粉尘等有害物质暴露，\n\n11:20.437 --> 11:22.687\n降低致敏物质的浓度。\n\n11:23.138 --> 11:28.838\n这个这个降低物致敏物质的浓度就是所有的措措施中的。\n\n11:28.892 --> 11:29.791\n最关键的一环，\n\n11:29.992 --> 11:32.591\n工程控制是预防关键的措施。\n\n11:35.659 --> 11:36.960\n个人防护措施，\n\n11:37.909 --> 11:41.909\n佩戴防尘口罩可以有效阻挡有害物质的吸入。\n\n11:42.159 --> 11:43.859\n穿防防防护服，\n\n11:44.109 --> 11:46.460\n穿防护服的目的就是保护皮肤，\n\n11:46.659 --> 11:49.260\n保护皮肤不受有害物质的侵害。\n\n11:50.010 --> 11:54.010\n定期健康检测可以及时发现健康的问题，\n\n11:54.010 --> 11:55.309\n并早期处理。\n\n11:55.460 --> 11:56.559\n前面也提到了，\n\n11:56.559 --> 11:58.135\n早期治疗的话，\n\n11:58.135 --> 12:01.460\n它的预后往往比晚期更好，\n\n12:01.609 --> 12:06.010\n和在肺造成不可逆损伤的之之前就进行。\n\n12:06.341 --> 12:08.992\n早期治疗往往会有更好的效果。\n\n12:11.093 --> 12:12.393\n提高防护意识，\n\n12:12.443 --> 12:15.343\n增强工人对职业性哮喘的认识，\n\n12:15.893 --> 12:19.218\n同时开展职业健康培训，\n\n12:19.218 --> 12:23.143\n教授正常防护知识和方法。\n\n12:24.809 --> 12:27.260\n其次是推广健康教育。\n\n12:27.409 --> 12:31.659\n推广健康教育是预防职业性哮喘中的重要措施。\n\n12:35.117 --> 12:36.418\n然后我们看一下案例，\n\n12:37.418 --> 12:39.718\n急性职业性哮喘的案例，\n\n12:40.168 --> 12:45.817\n化工厂的工人在接触异氰酸酯后出现喘息，\n\n12:46.567 --> 12:51.367\n然后给他脱离了暴露和治疗后早期进行治疗后，\n\n12:51.718 --> 12:54.168\n这个治疗效果预后较好。\n\n12:54.317 --> 12:57.468\n急性期紧急处理后预后良好。\n\n12:58.018 --> 13:01.317\n它的诊断主要是依靠X线和CT，\n\n13:01.567 --> 13:05.317\n还有前面说到的支气管输激发实验这种。\n\n13:05.979 --> 13:09.205\n实验室检查来进行一个辅助检，\n\n13:09.205 --> 13:10.229\n辅助诊断。\n\n13:13.442 --> 13:15.492\n慢性职业性哮喘的案例，\n\n13:15.642 --> 13:18.692\n比如说长期有一个面粉，\n\n13:18.692 --> 13:22.517\n那个面包师长期接触面粉，\n\n13:22.517 --> 13:25.291\n发展为了慢性的一个肺功能的损害，\n\n13:25.742 --> 13:28.492\n这个时候他就需要长期的药物治疗，\n\n13:28.841 --> 13:30.541\n药物控制症状，\n\n13:30.841 --> 13:32.242\n防止进一步的恶化。\n\n13:32.291 --> 13:33.892\n因为他长期接触，\n\n13:33.942 --> 13:35.942\n一旦拖入慢性期之后，\n\n13:35.942 --> 13:38.541\n已经造成了肺功能的不可逆的损伤。\n\n13:39.192 --> 13:43.841\n而这个时候康复训练的介入可以通过康复训练。\n\n13:43.895 --> 13:45.445\n来改善生活质量。\n\n13:49.898 --> 13:50.148\n哎。\n\n13:52.187 --> 13:55.387\n再看一个误诊的病例的分析，\n\n13:55.937 --> 13:58.762\n因为我我没有考虑职业史，\n\n13:58.762 --> 14:01.312\n误诊为了一个普通的哮喘，\n\n14:01.312 --> 14:04.736\n然后患者过敏原的检测是确诊的关键。\n\n14:05.236 --> 14:07.086\n强调职业史重要性，\n\n14:07.137 --> 14:09.286\n职业史对诊断至关重要。\n\n14:09.437 --> 14:15.187\n如果确定为普通的哮喘而没有让患者加强职业防护的话。\n\n14:15.995 --> 14:19.245\n往往会导致患者的哮喘进一步加重。\n\n14:22.096 --> 14:22.622\n这样的话，\n\n14:22.622 --> 14:26.046\n他不不在早期脱离致敏源，\n\n14:26.046 --> 14:29.447\n往往会造成肺的不可逆的一个损害。\n\n14:31.414 --> 14:32.465\n成功案例，\n\n14:32.715 --> 14:34.614\n早期脱离暴露史，\n\n14:34.965 --> 14:36.590\n早期脱离致敏环境，\n\n14:36.590 --> 14:41.315\n往往会往往是患者预后较好，\n\n14:41.765 --> 14:44.340\n可以让患者的症状完全缓解，\n\n14:44.340 --> 14:47.239\n及时治疗后症状消失。\n\n14:47.239 --> 14:48.539\n强调早期治疗，\n\n14:48.539 --> 14:51.315\n早期诊断和早期治疗是关键。\n\n14:53.997 --> 14:57.546\n预防措施改善通风和个人防护，\n\n14:57.846 --> 15:03.197\n通过工程控制和个人防护降低职业风险。\n\n15:03.646 --> 15:06.646\n发可以导致可以让发病率显著下降。\n\n15:07.046 --> 15:08.197\n预防措，\n\n15:08.247 --> 15:11.096\n预防措施实施后发病率会下降。\n\n15:11.646 --> 15:13.247\n强调预防措施，\n\n15:13.247 --> 15:16.146\n预防措施可以有效降低防发病率。\n\n15:16.895 --> 15:20.145\n总结一下知识点的回顾，\n\n15:20.445 --> 15:22.245\n职业性哮喘的定义，\n\n15:22.245 --> 15:26.995\n工作中吸入特定物质引发的疾病预防与治疗，\n\n15:27.296 --> 15:28.046\n脱敏，\n\n15:28.195 --> 15:29.495\n脱离致敏环境，\n\n15:29.495 --> 15:30.495\n药物治疗。\n\n15:33.054 --> 15:34.004\n健康教育，\n\n15:34.304 --> 15:35.754\n提高防护意识，\n\n15:35.754 --> 15:37.703\n开展职业健康培训。\n\n15:41.702 --> 15:44.427\n首先要判断患者是否患病，\n\n15:44.427 --> 15:50.952\n要通过职业史、症状和检测来确诊是不是是否是职业性哮喘。\n\n15:51.401 --> 15:54.452\n然后通过预防措施来加强通风，\n\n15:54.702 --> 15:56.552\n佩戴防护设施啊，\n\n15:56.552 --> 16:01.327\n防护设备来减少患者进一步的加重，\n\n16:01.327 --> 16:04.726\n提高尽早逆转他的症状，\n\n16:04.726 --> 16:05.802\n早期治疗，\n\n16:05.802 --> 16:09.101\n早期治疗往往会获得更好的治疗效果。\n\n16:11.005 --> 16:11.304\n好，\n\n16:11.304 --> 16:12.155\n谢谢大家。\n\n","v0d47cg10004d734dmiljht00dprgbig",978,602,"2026-03-25 00:06:50","2026-06-11 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