2022年醫(yī)學(xué)專題-咳嗽變異性哮喘曹

咳嗽變異性哮喘(xiàochuǎn)診治曹登瑞第一頁，共二十五頁。ContentsClicktoaddTitle1ClicktoaddTitle2ClicktoaddTitle3ClicktoaddTitle4第二頁，共二十五頁。RelatedDocumentsSubtitle20051981197919721970Stanescu等首次報(bào)道以咳嗽(késòu)為主訴的哮喘Glauser等發(fā)現(xiàn)成年患者的特點(diǎn)為發(fā)作性夜間干咳，無喘息，短期應(yīng)用(yìngyòng)激素可緩解癥狀，命名為“變異性哮喘”。Corrao等報(bào)道了以慢性咳嗽為主要患者，肺通氣功能正常，乙酰甲膽堿支氣管激發(fā)試驗(yàn)陽性，用支氣管擴(kuò)張劑后咳嗽消失(xiāoshī)，停用藥后咳嗽再次出現(xiàn)。Irwin等正式提出CVA的概念。我國《咳嗽診斷與治療指南（草案）》中統(tǒng)稱為“咳嗽變異性哮喘”。實(shí)現(xiàn)了與國際命名的接軌。第三頁，共二十五頁。第四頁，共二十五頁。概念(gàiniàn)什么是咳嗽變異性哮喘?CVA是哮喘的一種(yīzhǒnɡ)特殊類型，咳嗽是其唯一或主要臨床表現(xiàn)，無明顯喘息、氣促等癥狀或體征，但存在氣道高反應(yīng)性

第五頁，共二十五頁。概念(gàiniàn)一種特殊類型支氣管哮喘。臨床上以咳嗽為唯一(wéiyī)癥狀，而無喘息癥狀。慢性咳嗽常見病因。CVAeosinophilia咳嗽(késòu)氣道高反應(yīng)asthmaeosinophilia咳嗽氣道高反應(yīng)喘息第六頁，共二十五頁。第七頁，共二十五頁。DiagramThemeGallery

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isaDesignDigitalContent&ContentsmalldevelopedbyGuildDesignInc.TitleThemeGalleryisaDesignDigitalContent&ContentsmalldevelopedbyGuildDesignInc.第十九頁，共二十五頁。BlockDiagramTEXTTEXTTEXTTEXTTEXTTEXTTEXTTEXT第二十頁，共二十五頁。TableTitleTitleTitleTitleTitleTitleOOOOOTitleOOOOOTitleOOOOOTitleOOOOOTitleOOOOOTitleOXOXO第二十一頁，共二十五頁。3-DPieChartText1Text2Text3Text4Text5第二十二頁，共二十五頁。BlockDiagramAddYourTextAddYourTextconceptConceptConceptConcept第二十三頁，共二十五頁。ThankYou!第二十四頁，共二十五頁。內(nèi)容(nèiróng)總結(jié)咳嗽變異性哮喘診治。。