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Epidemiology of Bronchiolitis: Multicentric Study Policlinico-Garibaldi-Bronte-Caltagirone-Siracusa 细支气管炎流行病学:多中心研究polilinico - garibaldi - bronte - caltagirone - siracusa
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.104
B. P.
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引用次数: 0
The Effect of Salbutamol Nebul Treatment on Systolic Pulmonary Artery Pressure in Newly Diagnosed Patients with Chronic Obstructive Pulmoner Disease 沙丁胺醇胶囊治疗对新诊断慢性阻塞性肺病患者肺动脉收缩压的影响
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.102
Cosgun A
COPD may not only be a functional disorder of the lungs, but may also have systemic effects [1]. Extrapulmonary findings are described in skeletal muscle, bone and cardiovascular system [2]. It is thought that low-intensity chronic inflammation may cause oxidative stress and endothelial dysfunction, thus leading to ischemic heart disease or stroke [3,4]. The occurrence of pulmonary HT in patients with COPD usually indicates progression of the disease and poor prognosis. Pulmonary arterial hypertension [PAH] is diagnosed when mean pulmonary arterial pressure exceeds 25 mm-Hg at rest or 30 mm-Hg during exercise. Right heart catheterization is the gold standard method for measuring pulmonary artery pressure. In addition, echocardiography can be used for this purpose [5]. PAH is present in approximately 50% of patients with COPD, varying according to diagnostic methods [6-9]. The pulmonary artery pressure may increase significantly during exercise, which may lead to an erroneous assessment of exercise capacity. It has been determined that pulmonary artery pressure increases with age in healthy people. However, an increase in pressure in patients with COPD may result in a higher load in the heart and circulation, and reduced exercise tolerance [10-12]. The development of PHT in patients with COPD is an important influence that may transform the disease into pulmonary heart disease [13]. The pathogenesis of PHT in COPD has not yet been clearly elucidated, but it is thought that oxidative stress plays a role [14-18]. Although the negative effect of physical exercise on pulmonary artery pressure in patients with newly diagnosed and untreated COPD is known, its effect on the prognosis of the disease is still unclear [19-22]. The aim of this study is to investigate the effect bronchodilator treatment on systolic pulmonary artery pressure induced by exertion test in patients with COPD. Backround The Effect of Salbutamol Nebul Treatment on Systolic Pulmonary Artery Pressure in Newly Diagnosed Patients with Chronic Obstructive Pulmoner Disease
慢性阻塞性肺病可能不仅是一种肺功能障碍,而且可能具有全身性影响[1]。肺外表现见于骨骼肌、骨骼和心血管系统[2]。人们认为,低强度慢性炎症可引起氧化应激和内皮功能障碍,从而导致缺血性心脏病或中风[3,4]。慢性阻塞性肺病患者发生肺HT通常表明疾病进展和预后不良。肺动脉高压(PAH)是指静止时平均肺动脉压超过25 mm-Hg或运动时平均肺动脉压超过30 mm-Hg。右心导管是测量肺动脉压的金标准方法。此外,超声心动图也可用于此目的[5]。大约50%的COPD患者存在多环芳烃,诊断方法不同[6-9]。运动时肺动脉压可能显著升高,这可能导致对运动能力的错误评估。已经确定,健康人的肺动脉压随着年龄的增长而增加。然而,COPD患者血压升高可能导致心脏和循环负荷增加,运动耐量降低[10-12]。COPD患者PHT的发展是COPD向肺源性心脏病转变的重要影响因素[13]。慢性阻塞性肺病PHT的发病机制尚未明确,但认为氧化应激在其中起作用[14-18]。虽然已知体育锻炼对新诊断和未经治疗的COPD患者肺动脉压的负面影响,但其对疾病预后的影响尚不清楚[19-22]。本研究旨在探讨支气管扩张剂治疗对COPD患者用力试验所致肺动脉收缩压的影响。背景:沙丁胺醇对新诊断慢性阻塞性肺疾病患者肺动脉收缩压的影响
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引用次数: 0
Clinical Features and Management of Eosinophilic Asthma 嗜酸性粒细胞哮喘的临床特点及治疗
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.105
S. N.
Asthma is a complex chronic airway disease with several distinct phenotypes with different immunopathological pathways, clinical presentation, physiology, cormobidities, biomarker of allergic inflammation, and response to treatment [1-4]. There are several distinct proposed asthma phenotypes, such as childhood-ons et al. lergic asthma, adult-onset eosinophilic asthma,neutrophilic asthma, exercise-induced asthma (EIA), obesity-related asthma, and aspirin-exacerbated respiratory disease (AERD) [5-7]. Severe asthma represents about 5-10% of patients with asthma, and about 50% of these patients present with eosinophilic asthma [8-10]. The guidelines on the definition, evaluation and treatment of severe refractory asthma including eosinophilic asthma are given in detail by thethe American Thoracic Society (ATS) [11], and the European Respiratory Society (ERS) [12]. Severe asthma is defined by the joint ERS/ATS according to the following criteria [12]:
哮喘是一种复杂的慢性气道疾病,具有多种不同的表型,具有不同的免疫病理途径、临床表现、生理学、共病、过敏性炎症生物标志物和对治疗的反应[1-4]。有几种不同的哮喘表型,如儿童期等过敏性哮喘、成人发病嗜酸性哮喘、嗜中性粒细胞哮喘、运动诱发哮喘(EIA)、肥胖相关哮喘和阿司匹林加重呼吸系统疾病(AERD)[5-7]。重度哮喘约占哮喘患者的5-10%,其中约50%的患者存在嗜酸性哮喘[8-10]。美国胸科学会(ATS)[11]和欧洲呼吸学会(ERS)[12]对包括嗜酸性粒细胞性哮喘在内的严重难治性哮喘的定义、评估和治疗给出了详细的指南。重度哮喘由ERS/ATS联合定义,标准如下[12]:
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引用次数: 4
Predictive Value of ERCC1 Expression on Treatment Response to Cisplatin-Based Regimens in Small Cell Lung Cancer: A Retrospective Analysis ERCC1表达对小细胞肺癌顺铂治疗反应的预测价值:回顾性分析
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.103
Arpaci Rb
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引用次数: 0
Osteoid Osteoma of the Ribs - Is Image Intensifier or Bone Scintigraphy a Mandatory Diagnostic Tool - A Case report with Review of Literature 肋骨骨样骨瘤-影像增强或骨显像是一种强制性的诊断工具-一例报告并文献回顾
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.101
Nagre Sw
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引用次数: 0
The New Coronavirus (COVID-19) Declared as a Global Pandemic 新型冠状病毒(COVID-19)被宣布为全球大流行
Pub Date : 2020-04-01 DOI: 10.15744/2767-4649.1.106
X. J
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引用次数: 0
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Journal Respiratory Diseases & Treatment
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