Mirror PDF: 呼吸器ジャーナル Vol.66 No.3: 「咳嗽」と「喀痰」を診る

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医療機関を受診する患者の主訴の中で、最も多いのが咳嗽と喀痰である。平成28年に厚労省が全国の世帯及び世帯員を対象に施行した国民生活基礎調査において、世帯員が有している自覚症状として、「せきやたんが出る」が、「腰痛」「肩こり」に次いで、男性では3番目に多かった。これは、慢性に咳嗽と喀痰症状を有しながら生活している国民が非常に多いことを示している。 喀痰は咳嗽と密接な関係にあり、気道過分泌の病態では、咳嗽と喀痰が生じる。気道過分泌が生じると、粘液線毛クリアランスの処理能力を超え、これを咳クリアランスが代償することで、湿性咳嗽が出現する。したがって呼吸器疾患の病態を理解し、治療戦略を講じる際には、咳嗽と喀痰を切り離して考えることはできない。咳嗽と喀痰は大変身近な症状であるが、一方では、呼吸器疾患における最も重要な症候である。咳嗽と喀痰の背景には多彩な病態が存在しており、その中には重症度や緊急性が高い疾患も含まれていることにも注意を要する。 今回、日本呼吸器学会「咳嗽に関するガイドライン 第2版」の改訂に際し、咳嗽と密接な関係にある喀痰も一緒に取り扱い、「咳嗽・喀痰の診療ガイドライン」として作成されることになったことは、極めて意義深い。咳嗽と喀痰の診療については、呼吸器内科を含む内科全域だけでなく、内科以外の多くの診療科が関わる可能性があり、最も読者の多いガイドラインの一つになると予想される。したがって、幅広い領域の読者がガイドラインの内容を理解し活用するために、咳嗽・喀痰診療のポイントをわかりやすく説明した解説書のニーズも大きいと考えられ、本特集の企画に至った。 本特集は、「咳嗽・喀痰の診療ガイドライン」を理解する一助となり、ガイドラインを効率的に活用できるようになることを目的としている。本書を先に一読してから、「咳嗽・喀痰の診療ガイドライン」を開くことで、ガイドラインを即実践で使いこなせるようなると確信している。本特集が広く、学生や研修医から、コメディカル、非専門医、そして呼吸器専門医の方々まで座右の書として、ガイドラインとともに活用されることを願ってやまない。 目次 I. ✅ [Read or Download] 呼吸器ジャーナル Vol.66 No.3: 「咳嗽」と「喀痰」を診る Full Books [ePub/PDF/Audible/Kindle] 総論 咳嗽診療に必要な基礎知識―発生機序,分類,原因疾患,治療(松瀬厚人) 喀痰診療の原則(新海正晴) II. 咳嗽・喀痰を来す主な疾患 急性呼吸器感染症による急性症状としての咳嗽,喀痰の診療(宮下修行) 遷延性咳嗽の原因としての感染後咳嗽(横山彰仁・松瀬厚人) 喘息に伴う咳嗽・喀痰の診かた(権 寧博・福田麻佐美・丸岡秀一郎) 誤診も多い咳喘息の診療の基本(武山 廉) アトピー咳嗽からの新展開 ―喉頭異常感からみた慢性咳嗽の診かた(小川晴彦) COPDにおける咳嗽と喀痰の診かた(柴田陽光・町田浩祥・井上純人) 胃食道逆流症に伴う慢性咳嗽の診断と治療(新実彰男) 副鼻腔気管支症候群による咳嗽,喀痰の診断と治療 ―慢性副鼻腔炎(従来型・好酸球性)による後鼻漏(藤枝重治・宮本大輔・吉田加奈子) 気管支拡張症における咳嗽,喀痰の治療の基本(寺田二郎) 咳嗽,喀痰の原因としての肺結核・非結核性抗酸菌の診断 ―Doctor's delayをなくすためには(玉田 勉) 咳嗽の原因として見逃してはならない腫瘍(荻野広和・後東久嗣・西岡安彦) 高齢者の誤嚥に伴う咳嗽・喀痰(嚥下性細気管支炎など)(岩永賢司・東田有智) 忘れてはならない薬剤の副作用としての咳嗽(尾長谷靖・迎 寛) 環境・職業に伴う咳嗽,喀痰を診断するためには(矢寺和博) 人工呼吸器使用時の気道分泌管理はどうすべきか(倉橋清泰) 連載 ・Dr. Free Joint to access PDF files and Read this 呼吸器ジャーナル Vol.66 No.3: 「咳嗽」と「喀痰」を診る ⭐ books every where. Over 10 million ePub/PDF/Audible/Kindle books covering all genres in our book directory.長坂の身体所見でアプローチする呼吸器診療 Common Diseaseの身体所見2 間質性肺炎とその周辺(長坂行雄) Common Diseaseの身体所見3 肺炎か気管支炎か,それとも気管支肺炎か?(長坂行雄) ・症例で学ぶ非結核性抗酸菌症 過敏性肺炎型の肺MAC症(八木一馬・他) 孤立肺結節型の肺非結核性抗酸菌(NTM)症について(朝倉崇徳・他).
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