tailieunhanh - Điều trị phổi tắc nghẽn mạn tính (Phần 6)

Bệnh phổi tắc nghẽn mạn tính, hay COPD, là tình trạng tắc nghẽn được dẫn khí lâu ngày kèm với viêm phế quản mạn, khí phế thủng, hay cả hai. Tình trạng tắc nghẽn này tăng dần theo thời gian. Viêm phế quản mạn tính được định nghĩa là tình trạng ho kéo dài không gây ra bởi những nguyên nhân khác và có đàm từ 3 tháng trở lên mỗi năm trong vòng 2 năm liên tiếp. | Xin chân thành cám ơn Home 4 Guidelines Resources 4 Patients 4 GOLD Around the World 4 World CORD Day 4 About Us 4 Contact 4 Advanced Search The Globa Initiative for Chronic Obstructive Lung Disease GOLD works with health care professionals and public health officials to raise awareness of Chronic Obstructive Pulmonary Disease COPD and to improve prevention and treatment of this lung disease for patients around the world. Read more about GOLD News Events From Around the World The 2009 updates to the GOLD Report Executive Summary and GOLD Pocket Guide are now available. World the GOLD Rpnnrt UpToDate Official reprint from UpToDate Print Back 201Ũ UpToDate Management of acute exacerbations of chronic obstructive pulmonary disease Author James K Stoller MS MD Section Editor Peter J Barnes DM DSc FRCP FRS Deputy Editor Helen Hollingsworth MD Last literature review version January 2010 This topic last updated October 1 2009 INTRODUCTION The Global Initiative for Chronic Obstructive Lung Disease GOLD - a report produced by the National Heart Lung and Blood Institute NHLBI and the World Health Organization WHO - defines an exacerbation of chronic obstructive pulmonary disease COPD as an acute increase in symptoms beyond normal day-to-day variation 1 . This generally includes an acute increase in one or more of the following cardinal symptoms Cough increases in frequency and severity Sputum production increases in volume and or changes character Dyspnea increases Constitutional symptoms an unchanged chest radiograph a variable decrease in pulmonary function and tachypnea are typical in acute exacerbations 1 2 . However severe cases can lead to respiratory failure and death. The management of patients with acute exacerbations of COPD is discussed in detail here. The diagnosis and treatment of infection in acute exacerbations and the management of stable COPD are discussed separately. See Diagnosis and treatment of infection in acute exacerbations of .