医学研究与教育 ›› 2024, Vol. 41 ›› Issue (2): 9-14.DOI: 10.3969/j.issn.1674-490X.2024.02.002

• 临床医学 • 上一篇    下一篇

慢性阻塞性肺疾病合并支气管扩张的发病机制及治疗研究

赵超1,黄燕2,杨爽2,于新鹤1   

  1. 1.内蒙古医科大学研究生学院, 内蒙古 呼和浩特 010020;
    2.内蒙古自治区中医医院肺病科, 内蒙古 呼和浩特 010000
  • 收稿日期:2023-05-04 出版日期:2024-04-25 发布日期:2024-04-25
  • 通讯作者: 杨爽(1987—),女,山东枣庄人,副主任医师,博士,硕士生导师,主要从事中西医结合防治常见呼吸系统疾病研究。E-mail: fuling_ys1987@126.com
  • 作者简介:赵超(1996—),男,内蒙古自治区巴彦淖尔人,在读硕士,主要从事中西医结合防治常见呼吸系统疾病研究。 E-mail: zc15134961459@126.com
  • 基金资助:
    内蒙古自治区科技成果转化引导项目(T102449);内蒙古自治区卫生健康科技计划项目(202201116)

  • Received:2023-05-04 Online:2024-04-25 Published:2024-04-25

摘要: 慢性阻塞性肺疾病(以下简称慢阻肺)作为临床呼吸系统的常见病和多发病,基于长期临床理论实践,病理分型主要有支气管炎型和肺气肿型。随着高分辨CT的普及应用,临床上一部分慢阻肺患者的CT检查中显示存在支气管扩张,而支气管扩张引起的反复呼吸道感染加剧了肺功能下降和呼吸衰竭的发生发展,因此,对慢阻肺合并支气管扩张这一特殊表型、发病因素、发病机制以及临床治疗等方面的研究需要不断深入。通过对近年来慢阻肺合并支气管扩张发病机制和临床治疗理论加以综合整理分析,以期实现对该疾病的进一步认识。

关键词: 慢性阻塞性肺疾病, 支气管扩张, 合并症, 发病机制, 治疗方式

Abstract: Chronic obstructive pulmonary disease(COPD), as a common and frequently occurring respiratory disease in clinical practice, is mainly classified into bronchitis and emphysema based on long-term clinical theory and practice. With the widespread application of high-resolution CT, CT scans of some patients with COPD show the presence of bronchiectasis. The repeated respiratory infections caused by bronchiectasis exacerbate the decline of lung function and the development of respiratory failure. Therefore, further research is needed on the special phenotype, pathogenic factors, pathogenesis, and clinical treatment of COPD combined with bronchiectasis. Through a comprehensive analysis of the pathogenesis and clinical treatment theories of chronic obstructive pulmonary disease with bronchiectasis in recent years, we can further understand this disease.

Key words: chronic obstructive pulmonary disease, bronchiectasis, complication, pathogenesis, treatment methods

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