喘和呼吸道并发性疾病
Dennis K Ledford1, Tae-Bum Kim2, Victor E Ortega3
1Department of Internal Medicine, Division of Allergy and Immunology, Morsani College of Medicine, University of South Florida, Tampa, and the James A. Haley VA Hospital, Tampa, Fla.
The Journal of allergy and clinical immunology
|November 14, 2024
概括
识别呼吸道并发症 (RCs) 对于有效的喘管理至关重要,特别是在复杂的病例中. 症状重叠使诊断和治疗复杂化,需要仔细评估并存的疾病.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
- 临床免疫学临床免疫学
背景情况:
- 喘是一种异质的呼吸道疾病,具有可变的临床表现.
- 呼吸道并发症 (RCs) 经常与喘并存,使患者的治疗复杂化.
- 喘和RCs之间的症状重叠带来了诊断和治疗方面的挑战.
研究的目的:
- 综述和总结与喘相关的关键呼吸道并发症.
- 突出由喘和RCs引起的诊断和治疗复杂性.
- 强调认识到RCs对于最佳喘护理的重要性.
主要方法:
- 在PubMed上对喘和呼吸道并发疾病 (2019-2024) 进行了文献搜索.
- 专注于五个流行或临床显著的RCs.
- 总结了发现,并讨论了诊断/治疗的影响.
主要成果:
- 喘和RCs之间的症状和迹象重叠使准确的诊断变得复杂.
- 在成人非2型喘中,诊断RCs尤其具有挑战性.
- 由于症状相似性和错误归因的可能性,治疗决策是复杂的.
结论:
- 识别呼吸道并发症对于有效的喘管理至关重要.
- 精确识别RCs至关重要,特别是在严重或难以治疗的喘中.
- 解决RCs可以改善患者的整体结果和喘控制.
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