Bronchial asthma Department of respiration Kong Lingfei
Bronchial asthma Department of respiration Kong Lingfei
Asthma human killer
Asthma:human killer!
Background of asthma Prevalence: in the world: 1.6 hundred million in China:1-3 2 in Shenyang: 1.24%(1999) GINA: Global Initiative for Asthma (1994) WHO/HLBI Bronchial asthmatic diagnosis guideline(1997) Chinese Medical academy
Background of asthma Prevalence :in the world: 1.6 hundred million in China: 1~3 % in Shenyang: 1.24 %(1999) GINA: Global Initiative for Asthma(1994) WHO/HLBI Bronchial asthmatic diagnosis guideline (1997) Chinese Medical Academy
Definitions of asthma Chronic airway inflammation Broncho-hyperresponsiveness, BHR · Airflow limitation
Definitions of asthma • Chronic airway inflammation • Broncho-hyperresponsiveness, BHR • Airflow limitation
Mechanism: allergy theory antigen antigen again atopy→ ige antibody→→ mast cells, basophils ↓ histamine inflammatory media LTs PAF ECP immediate asthmatic reaction AR bronchial smooth muscle spasm airway narrow
Mechanism: allergy theory antigen antigen ↓ ↓again atopy→IgE antibody→mast cells, basophils ↓ histamine inflammatory media LTs ↓ PAF ECP immediate asthmatic reaction, IAR ↓ bronchial smooth muscle spasm airway narrow