症状性哮喘可能持续存在。 对于致敏物诱发的 OA,如果患者继续长时间在致病物质暴露下工作,则更有可能是发生了这种情况:例如,长期未做出诊断,或者社会经济因素妨碍患者改变其工作暴露。[22]Tarlo SM, Balmes J, Balkissoon R, et al. Diagnosis and management of work-related asthma: American College of Chest Physicians Consensus Statement. Chest. 2008;134(3 suppl):1S-41S.http://www.ncbi.nlm.nih.gov/pubmed/18779187?tool=bestpractice.com[37]Beach J, Russell K, Blitz S, et al. A systematic review of the diagnosis of occupational asthma. Chest. 2007;131:569-578.http://www.ncbi.nlm.nih.gov/pubmed/17296663?tool=bestpractice.com[39]Beach J, Rowe BH, Blitz S, et al. Diagnosis and management of work-related asthma. Evid Rep Technol Assess (Summ). 2005;129:1-8.https://www.ncbi.nlm.nih.gov/books/NBK37917/http://www.ncbi.nlm.nih.gov/pubmed/16354102?tool=bestpractice.com 尚不清楚部分刺激物诱发的 OA 患者哮喘长期持续存在的原因。 持续性症状性哮喘的治疗应遵循非职业性哮喘的治疗。这包括使用 β-受体激动剂和吸入性皮质类固醇的阶梯式药物治疗。[57]Global Initiative for Asthma. 2018 GINA report: global strategy for asthma management and prevention. March 2018 [internet publication].https://ginasthma.org/2018-gina-report-global-strategy-for-asthma-management-and-prevention/
Asthma in adults
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