慢性支气管炎Chronic Bronchitis
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    慢性支气管炎Chronic Bronchitis

      Chronic Bronchitis

      慢性支气管炎

      Chronic bronchitis is a condition associated with excessive tracheobronchia mucus production sufficient to cause cough with expectoration for at least 3 months of the year for more than 2 consecutive years. Several subclassifications have been proposed: ①simple chronic bronchitis describes a condition characterized by mucoid sputum production; ②chronic mucopurulent bronchitis is characterized by persistent or recurrent purulence of sputum in the absence of localized suppurative diseases such as bronchiectasis; ③chronic bronchitis with obstruction deserves a separate classification characterized by presence of airway obstruction as assessed by the used of the forced expiratory vital capacity maneuver; and ④chronic asthmatic bronchitis. The patient with chronic asthmatic bronchitis has a long history of cough and sputum production with a later onset of wheezing, whereas the asthmatic with chronic obstruction gives a long history of wheezing with later onset of chronic productive cough. form www.med66.com

      由于气管、支气管粘液分泌过多,引起咳嗽咯痰,1年中至少有3个月并连续2年以上者,称为慢性支气管炎。它可以分为以下几种类型:①单纯性慢性支气管炎,其特征为咳粘液性痰;②慢性粘液脓性支气管炎,其特征是反复的或持续的咳脓痰,但肺部并无化脓性病变,如支气管扩张;③慢性支气管炎伴阻塞,其特征为用力呼气肺活量测定时有气道阻塞的表现;④慢性哮喘性支气管炎,其特征是患者有长期的咳嗽及咯痰史,后来肺部出现哮鸣者,因此与哮喘伴慢性气管阻塞的病人不同。后者是长期有哮鸣者,后来才出现慢性咳痰。

      From Internal Medicine

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