摘要
支气管扩张症合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)在患者中并不罕见,两者在诊断上并不存在冲突,由于2种疾病在发病机制上有一定的相似性,因此支气管扩张症与COPD的合并状态可以认为是2种疾病在发生进展过程中形成的一种特殊状态。这种合并症在临床症状等方面与单独2种疾病的表现比较类似,临床上容易出现误诊,但是支气管扩张症合并COPD的急性加重次数更多,临床表现更重,预后更差,应当引起临床工作者的注意。
Bronchiectasis complicated with chronic obstructive pulmonary disease(COPD) is not rare in patients, and there is no conflict in the diagnosis between the two diseases. Due to the similarities in the pathogenesis of the two diseases, the combined state of bronchiectasis and COPD can be considered as a special state formed in the development of the two diseases. The clinical symptoms of this complication are similar to those of the two diseases alone, so it is easy to be misdiagnosed clinically. However, bronchiectasis complicated with COPD has more acute exacerbations, more severe clinical manifestations, and worse prognosis, which should be paid attention to by doctors.
作者
冯明发(综述)
张薇(审校)
FENG Mingfa;ZHANG Wei(Department of Respiration,First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《临床与病理杂志》
CAS
2021年第10期2461-2467,共7页
Journal of Clinical and Pathological Research
关键词
支气管扩张
慢性阻塞性肺疾病
合并症
慢性炎症
bronchiectasis
chronic obstructive pulmonary disease
comorbidity
chronic inflammation