山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (1): 59-62.doi: 10.6040/j.issn.1673-3770.1.2018.042

• 学术研讨 • 上一篇    下一篇

重视儿童“侧呼吸道”过敏性炎症

杨钦泰*()   

  1. 中山大学附属第三医院耳鼻咽喉头颈外科, 广东 广州 510630
  • 收稿日期:2018-11-19 出版日期:2019-01-20 发布日期:2019-01-28
  • 通讯作者: 杨钦泰 E-mail:yang.qt@163.com
  • 作者简介:杨钦泰，主任医师，医学博士，博士生导师。新加坡国立大学访问学者。主要学术任职：广东省医学会变态反应学分会副主任委员，广东省健康管理学会耳鼻咽喉头颈病学专业委员会副主任委员，广东省行业协会耳鼻咽喉头颈病学专业委员会副主任委员，广东省医学会耳鼻咽喉科学分会常务委员，广东省医师协会耳鼻咽喉科医师分会常务委员，广东省生物医学工程学会耳鼻咽喉科分会常务委员，广东省药学会耳鼻咽喉头颈外科用药专家委员会常务委员，中国医疗保健国际交流促进会过敏科学分会常务委员/副秘书长，中华医学会耳鼻咽喉头颈外科学分会青年委员，中国医师协会耳鼻咽喉科医师分会青年委员。担任《Therapeutics and Clinical Risk Management 》《国际耳鼻咽喉头颈外科》《中国耳鼻咽喉头颈外科》编委，《中华耳鼻咽喉头颈外科杂志》通讯编委。2017年入选“广东省医学杰出青年人才”项目，承担14项国家(主持3项国家自然科学基金面上项目)及省市级科研课题，发表相关研究论文70余篇，获得国家实用新型专利8项，参与编写相关专著3部
  • 基金资助:
    国家自然科学基金(81870704);国家自然科学基金(81670912);广州市产学研重大(对外合作)项目(201704030046)

Paying attention to the 'lateral airway' allergic diseases in children

Qintai YANG*()   

  1. Department of Otorhinolaryngology Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, Guangdong, China
  • Received:2018-11-19 Online:2019-01-20 Published:2019-01-28
  • Contact: Qintai YANG E-mail:yang.qt@163.com
  • Supported by:
    国家自然科学基金(81870704);国家自然科学基金(81670912);广州市产学研重大(对外合作)项目(201704030046)

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摘要：

过敏性疾病是全身多器官的系统性疾病，随年龄增长存在“过敏进程”，具有外在的多种表型，也存在内在的紧密联系，又因年龄和人群的差异而变化多端。由于儿童存在身体结构和免疫系统的动态变化而比较特殊，因此聚焦“儿童”“呼吸道”“过敏性疾病”显得尤为重要。过敏性鼻炎、过敏性哮喘和分泌性中耳炎是三种来自同一气道、不同解剖部位的儿童呼吸道疾病，其关联性越来越受到关注，涉及上、下和侧呼吸道过敏性炎症是否存在一致性值得深入探讨，通过临床研究和循证医学证据提出我们的思考。

关键词: 儿童, 过敏性疾病, 分泌性中耳炎, 侧呼吸道

Abstract:

Allergic diseases are autoimmune diseases that involve multi-organ systems producing a variety of clinical manifestations; concurrently, there is an intrinsic and inseparable link between multiple systems and clinical manifestations, producing a variety of manifestations among different age-groups and populations. Focusing on allergic diseases that are associated with the respiratory airway in children is relatively complicated due to the dynamic changes observed with respect to their body structures and immune systems. Allergic rhinitis, allergic asthma, and otitis media with effusion are three examples of allergic respiratory diseases in children that affect the same airway at different anatomical regions, and the correlation between them is receiving greater attention. Whether the upper, lower, and lateral airways could ever truly be in concurrence with each other is worth an in-depth discussion, and thus, we put forward some minor thoughts and suggestions based on the available clinical research and literature.

Key words: Children, Allergic disease, Otitis media with effusion, Lateral airway

中图分类号: 

  • R765.21

图1

腺样体肥大(AH)、过敏性鼻炎(AR)与分泌性中耳炎(OME)的关系图"

图2

左图为ARIA的“上、下呼吸道一体化”示意图，右图为我们在ARIA的基础上提出来的“上、下、侧呼吸道一体化”模式图"

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