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氣喘、COPD及支氣管擴張症總結與複習

總結

氣喘、COPD及支氣管擴張症在臨床上常被混淆,何老師會在本影片中總結三者差異。

其差異如下: 誘發氣喘的因子多為環境暴露,常見職業型氣喘;COPD患者最大誘因為抽菸,其次為環境暴露如灰塵接觸、喝酒,病人通常具較低社經地位;支氣管擴張症則多為反覆性感染造成的病變。其中氣喘病人較有遺傳的現象;COPD則有基因遺傳、家族史的問題;支氣管擴張症多為基因病變,及自體免疫疾病誘發導致。一般在臨床上要區分這三種疾病,會先使用支氣管擴張劑觀察是否有反應,再根據個別需求做後續檢查。

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