孔怡.终末期慢性阻塞性肺疾病的诊治进展[J].内科急危重症杂志,2023,29(5):353-357
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| DOI：10.11768/nkjwzzzz20230501 |
| 中文关键词: 慢性阻塞性肺疾病 呼吸困难 姑息治疗 |
| 英文关键词: |
| 基金项目:国家自然科学基金（No:82070049） |
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| 中文摘要: |
| 慢性阻塞性肺疾病（简称慢阻肺）是一种高度症状性疾病，反复疾病恶化可能导致健康状况的迅速下降甚至死亡，但因导致慢阻肺疾病恶化的因素混杂，故很难预测慢阻肺患者死亡的轨迹。终末期慢阻肺的主要症状表现为难治性呼吸困难、咳嗽、疲劳和虚弱、疼痛、焦虑和抑郁、营养不良等。然而，大多数慢阻肺患者在生命的最后阶段没有得到足够的治疗。因此，临床医生与患者讨论姑息治疗可以为终末期慢阻肺患者带来更有意义的生活前景。本文总结终末期慢阻肺患者的症状负担以及相关姑息治疗的讨论。 |
| 英文摘要: |
| Abstract Chronic obstructive pulmonary disease (COPD) is a highly symptomatic disease, and worsening COPD can lead to a rapid decline in health or even death. Due to the mixed factors that contribute to the worsening of COPD, it is difficult to predict the trajectory of death in COPD patients. The main symptoms of end-stage COPD are refractory dyspnea, cough, fatigue and weakness, pain, anxiety and depression, and malnutrition. However, most patients with COPD do not receive adequate treatment in their end-stage of life. Therefore, clinicians discussing palliative care with patients can lead to more meaningful life prospects for people with end-stage COPD. This review summarizes the symptom burden and discusses about palliative care in patients with end-stage COPD. |
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