呼吸系統(tǒng)疾病英文ppt課件-wenkub
2023-04-06 01:49:51 本頁面
【正文】 antigen detection, PCR, or culture. ?Xray: hyperinflation of the lungs, emphysema, scattered areas of consolidation 34 Differential diagnosis ?Asthma ?Cystic fibrosis ?Heart failure ?Foreign body in the trachea ?pertussis 35 36 兩側(cè)肺紋理粗重。 ? increased fluid intake： oral intake, intravenous solutions ? head and chest slightly elevated 38 ? Ribavirin ? Antibiotics ? corticosteroids 39 Pneumonia ? Pneumonia is results from direct inflammation of the lung tissue ? infections (bacterial, viral or fungal) ? chemical injury (gastric acid/ aspiration of food/ hydrocarbon and lipoid pneumonia/ radiation induced pneumonia) 40 Clinical manifestation ?fever ?cough ?Dyspnea(Tachypnea,cyanosis) ?Localized rales(fine moist rales) ?Abnormal chest xray 41 Classification ?Pathologic ? pathogenic ? course of disease ? State of disease ? Clinical manifestation ? Where acquired 42 Bronchopneumonia viruses, bacteria, MP, CP. 2~3yrs old edema,infiltration 43 44 45 46 3 pathophysiology ?hypoxemia, hypercapnia, toxemia ?respiratory insufficiency ?acidosis ?myocarditis, heart failure, shock, DIC ?toxic encephalopathy ?toxic intestinal paralysis 47 manifestation (1) mild pneumonia： ? fever ? cough ? dyspnea ( tachypnea, cyanosis) ? rales ? Chest xray 48 兩肺紋理增粗。胸片：左側(cè)阻塞性肺氣腫。其余肺野含氣量增高。 55 56 9. treament (1) general therapy (2) antipathogen therapy ? antibiotics ? antivirus 57 (3)symptomatic therapy ? oxygen supply ? airway management ? abdominal distention ? fever (4) Corticosteroid (5) plications /underling disease (6)Immunotherapy 58 Characteristics of pneumonia caused by different pathogen 59 syncytial virus pneumonia ? age: 2~7mon ? fever:mild or moderate ? main signs: acute onset, wheeze, expiratory difficulty, palpable liver and spleen. ? Pallor, cyanosis, restlessness ? Auscultation: diffuse rhonchi, fine rales ? Chest Xray:peribronchial thickening or interstitial pneumonia 60 pneumonia ? Age: 6mon2yrs ? main signs: acute onset, long duration of high fever， 7~ 10days or 2~3weeks then pelter ? Systemic toxic symptoms are obvious ?Frequent cough， paroxysmal wheeze, dyspnea,cyanosis 61 ?
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