WordNet
- the act of attacking; "attacks on women increased last year"; "they made an attempt on his life" (同)attempt
- (military) an offensive against an enemy (using weapons); "the attack began at dawn" (同)onslaught, onset, onrush
- a decisive manner of beginning a musical tone or phrase (同)tone-beginning
- an offensive move in a sport or game; "they won the game with a 10-hit attack in the 9th inning"
- strong criticism; "he published an unexpected attack on my work"
- a sudden occurrence of an uncontrollable condition; "an attack of diarrhea"
- begin to injure; "The cancer cells are attacking his liver"; "Rust is attacking the metal"
- set to work upon; turn ones energies vigorously to a task; "I attacked the problem as soon as I got out of bed"
- the onset of a corrosive or destructive process (as by a chemical agent); "the film was sensitive to attack by acids"; "open to attack by the elements"
- attack in speech or writing; "The editors of the left-leaning paper attacked the new House Speaker" (同)round, assail, lash out, snipe, assault
- take the initiative and go on the offensive; "The Serbs attacked the village at night"; "The visiting team started to attack" (同)aggress
- launch an attack or assault on; begin hostilities or start warfare with; "Hitler attacked Poland on September 1, 1939 and started World War II"; "Serbian forces assailed Bosnian towns all week" (同)assail
- relating to breathing with a whistling sound (同)wheezing, wheezy
- a person suffering from asthma; "she is a chronic asthmatic"; "the painful gasps of a dying asthmatic"
PrepTutorEJDIC
- …'を'『襲う』,『攻撃する』;(ゲームで)…'を'攻める / (演説・文書などで)…'を'『非難する』,攻撃する / 〈病気・不運などが〉…'を'襲う,冒す / 〈仕事など〉‘に'勢いよく取りかかる,着手する / 『攻撃をする』 / 〈U〉〈C〉(…に対する)『攻撃』;(ゲームの)攻め;非難《+『on』(『upon, against』)+『名』》 / 〈C〉発病,発作 / 〈U〉(仕事への)着手,開始
- 喘息の / 喘息患者
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
- 1. 12歳未満の小児における喘息：定義、疫学、および病態生理 asthma in children younger than 12 years definition epidemiology and pathophysiology
- 2. 成人における喘息の急性増悪の治療 treatment of acute exacerbations of asthma in adults
- 3. 12歳未満の小児における慢性喘息：持続性喘息の治療およびコントロール薬 asthma in children younger than 12 years treatment of persistent asthma with controller medications
- 4. 一過性脳虚血発作および脳卒中の鑑別診断 differential diagnosis of transient ischemic attack and stroke
- 5. Complementary, alternative, and integrative therapies for asthma
English Journal
- Interleukin-1 receptor associated kinase inhibitors: potential therapeutic agents for inflammatory- and immune-related disorders.
- Bahia MS1, Kaur M1, Silakari P1, Silakari O2.
- Cellular signalling.Cell Signal.2015 Jun;27(6):1039-55. doi: 10.1016/j.cellsig.2015.02.025. Epub 2015 Feb 27.
- The various cells of innate immune system quickly counter-attack invading pathogens, and mount up "first line" defense through their trans-membrane receptors including Toll-like receptors (TLRs) and interleukin receptors (IL-Rs) that result in the secretion of pro-inflammatory cytokines. Albeit such
- PMID 25728511
- Steroids and antihistamines synergize to inhibit rat's airway smooth muscle contractility.
- Liu SC1, Chu YH, Kao CH, Wu CC, Wang HW.
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery.Eur Arch Otorhinolaryngol.2015 Jun;272(6):1443-9. doi: 10.1007/s00405-014-3240-y. Epub 2014 Aug 13.
- Both glucocorticoids and H1-antihistamines were widely used on patients with allergic rhinitis (AR) and obstructive airway diseases. However, their direct effects on airway smooth muscle were not fully explored. In this study, we tested the effectiveness of prednisolone (Kidsolone) and levocetirizin
- PMID 25115316
- Diurnal and twenty-four hour patterning of human diseases: Cardiac, vascular, and respiratory diseases, conditions, and syndromes.
- Smolensky MH1, Portaluppi F2, Manfredini R2, Hermida RC3, Tiseo R2, Sackett-Lundeen LL4, Haus EL4.
- Sleep medicine reviews.Sleep Med Rev.2015 Jun;21:3-11. doi: 10.1016/j.smrv.2014.07.001. Epub 2014 Jul 18.
- Various medical conditions, disorders, and syndromes exhibit predictable-in-time diurnal and 24 h patterning in the signs, symptoms, and grave nonfatal and fatal events, e.g., respiratory ones of viral and allergic rhinorrhea, reversible (asthma) and non-reversible (bronchitis and emphysema) chron
- PMID 25129838
Japanese Journal
- 東日本大震災におけるアレルギー児の保護者へのアンケート調査（第3報）―沿岸部の調査（避難所に避難したアレルギー児の検討）―
- 日本小児アレルギー学会誌 28(2), 211-215, 2014
- NAID 130004852319
- Exercise-Induced Wheezing among Japanese Pre-School Children and Pupils
- Allergology International 63(2), 251-259, 2014
- NAID 130004477214
- The new materials for the filter to prevent allergic asthma caused by diesel exhaust : amorphous iron hydroxide and activated carbon
- 日本予防医学会雑誌 7(3), 95-102, 2012-12
- NAID 40019551892
Related Links
- Severe asthma, in which the victim suffers extreme difficulty in breathing, can be fatal if not quickly treated, although most attacks, while distressing, do not threaten life. During an asthmatic attack, the muscles around the air-tubes ...
- Everything you need to know about asthmatic attack, including the most common causes, symptoms and treatments. ... Asthma attacks can be frightening, both for those having them, as well as for their loved ones who watch them ...
Related Pictures
★リンクテーブル★
| リンク元 | 「喘息発作」「気管支喘息発作」 |
| 関連記事 | 「attack」「asthmatic」 |
「喘息発作」
- 英
- asthmatic attack
- 同
- 喘息の急性増悪 acute exacerbation ofasthma
- 関
- 気管支喘息発作、喘息発作重積状態、気管支喘息
概念
- 気管支喘息患者に起こる発作。
- 症状は咳、喘鳴、呼吸困難であり、病態として気道狭窄と気道の過敏性が存在している。身体所見としてはweezeを聴取し、呼気の延長が見られる。
管理
- 参考1
| 治療目標： 呼吸困難の消失、体動、睡眠正常、日常生活正常ピークフ口-(PEF)の正常値(予測値できれば自己最良値70%以上)、,酸素飽和度＞90%*、平常服薬・吸入で喘息症状の悪化なし | |||||
| 喘息症状の程度 | 呼吸困難 | 動作 | 治療 | 自宅治療可/救急/外来入院/ICU** | 検査値* |
| 1.軽度 | 苦しいが横になれる | やや困難 | ・β2刺激薬吸入、頓用*1 ・テオフイリン薬頓用 |
自宅治療可 | PEF 70～80% |
| 2.中等症 | 苦しくて横になれない | ・かなり困難 ・かろうじて歩ける |
・β2刺激薬ネブライザー吸入反復*2 ・β2刺激薬皮下注(ボスミン)*3 ・aminophylline点滴*4 ・副腎皮質ステロイド薬静注*5 ・酸素*6 ・抗コリン薬吸入考慮 |
救急外来 ・1時間で症状が改善すれば帰宅治療へ ・4時間で反応不十分/2時間で反応なければ入院し高度喘息症状の治療へ |
PEF 50～70% PaO2 60Torr以上 PaCO2 45Torr以下 SpO2 90%以上.. |
| 3.高度 | 苦しくて動 けない |
・歩行不能 ・会話困難 |
・β2刺激薬皮下注(ボスミン)*3 ・aminophylline持続点滴*7 ・副腎皮質ステロイド薬静注反復*5 ・酸素*8 ・β2刺激薬ネプライサ吸入反復*2 |
救急外来 ・1時間以内に反応なければ入院治療 ・悪化すれば重篤症状の治療へ |
PEF 50%以下 PaO2 60丁0rr以下 PaCO2 45Torr以上 SpO2 90%以下.: |
| 4. 重篤症状 (大発作の治療に反応しない 発作・上記治療でも悪化) |
(状態) ・チアノーゼ ・錯乱 ・意識障害 ・失禁 ・呼吸停吐 |
・会話不能 ・体勤不能 |
上記治療継続. ・症状、呼吸機能悪化で挿管*9 ・酸素吸入にもかかわらずPaO2 50Torr以下および/または意識障害を伴う急激なPaCO2の上昇 ・人工呼吸*9 ・気管支洗浄 ・全身麻酔(isoflurane, sevoflurane, enflurane etc.)を考慮 |
ただちに入院、ICU** | PEF 測定不能 PaO2 60Torr以下 PaCO2 45Torr以上 SpO2 90%以下 |
参考
- 1. 呼吸器疾患最新の治療2004-2006 p.261
国試
「気管支喘息発作」
- 英
- asthmatic attack
- 関
- 喘息発作
「attack」
- n.
- v.
- 攻撃する、襲う、非難する、襲撃する
- 関
- aggressive、assault、blame、bout、challenge、crises、crisis、criticise、criticism、criticize、insult、offense、offensive、paroxysm、seizure、strike、stroke、thrust
「asthmatic」
- adj.
- 喘息の、喘息性の
- n.
- 関
- asthma