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Breathless but not quite the same 不一樣的氣促

(added on 2009/08/19)

©2009 SpatioEpi.com
Data source: Pilot study on the feasibility of fever surveillance in hospital setting, K.W. Choi, 2009.
Map created by CUHK SpatioEpi Group

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Map shows the home locations of patients presenting with shortness of breath at the emergency room of a hospital in Hong Kong over a three-month observation period. Though symptomatically similar, the geographic distribution of asthma (white circles and white bars) and chronic obstructive airway disease (COAD) (purple circles and purple bars) patients varied considerably. COAD is a chronic condition affecting older people. It is therefore not surprising that their locations often overlapped those of homes for elderly people (shown as houses in navy blue). In some cases, COAD and asthma co-existed (white circles with thick purple boundaries), which may suggest the same triggering factor for breathless attacks in the environment.

Data were extracted from the dataset of a pilot study on fever surveillance conducted at the Alice Ho Miu Ling Nethersole Hospital in Tai Po District in Hong Kong between September and December 2005. The light green areas are DCCAs (District Council Constituency Areas) in central Tai Po where most people in the District live.

地圖顯示氣喘病人的居所分佈。在一段長三個月的觀察期內,地圖中的氣喘病人曾經到過香港一所醫院的急症室求診。哮喘(白色圖形)和慢性阻塞性肺病(紫色圖形)同樣令病者產生氣促現象,但地理位置差異頗大。慢性阻塞性肺病影響老年人,以致某些病者地點和老人院(籃色小屋)互疊。此外,一些地方同時發生兩種病(白色圖形,紫色邊),反映了潛在的環境因素,可能令兩種氣喘發作。

地圖數據源自二零零五年九月至十二月期間,在香港大埔區雅麗氏何妙齡那打素醫院進行的一項發燒監測研究。地圖中央淺綠色地帶是較多大埔區居民居住的區議會選區。

Related Article

COAD 慢性阻塞性肺病

Chronic Obstructive Airway Disease (COAD) is also known as Chronic Obstructive Pulmonary Disease (COPD). Patients suffering from the condition present with difficulties in breathing. COAD/COPD commonly encompasses a combination of chronic bronchitis and emphysema. Breathing is a laborious activity, and patients breathe in a more exaggerated manner in order to obtain sufficient oxygen.

Chronic bronchitis refers to the presence of inflammation of the bronchi in the lungs, which is associated with excess mucus secretion and coughing, lasting for prolonged period of time.

Emphysema is characterized by the dysfunction or damage of lung tissues, as a result of which the air sacs and airways lose their normal function.

COAD commonly results from chronic smoking. There is no cure for COAD. Medical therapy can relieve symptoms only.

慢性阻塞性肺病,簡稱慢阻肺。患者通常都有呼吸困難。慢阻肺一般包含慢性支氣管炎和肺氣腫兩種臨床及病理現象。患者呼吸困難,需要用力吸入空氣才能獲得足夠氧氣。

慢性支氣管炎指肺部的支氣管發炎,引致長期性過量分泌黏液和咳嗽。

肺氣腫是指肺組織受到破壞或失去正常功能,導致肺氣囊與呼吸道受損。

慢性阻塞性肺病主要因長期吸煙所致。慢性阻塞性肺病不能根治,藥物療程可以舒緩症狀。


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