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20xx年醫(yī)學(xué)專題—急性腹胸痛[4]-文庫吧資料

2024-11-19 05:27本頁面
  

【正文】 (30%)ST抬高第二十四 頁 ,共四十五 頁 。12導(dǎo) ST(30%)myocardial(Dynamic12examinationand)方法168。Pain心源性胸痛的急診評(píng)價(jià) (p237。CardiogenicEvaluationsh236。aorta168。dissectionembolisminfarction, severeacutepericardialsuchhypotension/venousappearedsymptomsHaemodynamics:),如主動(dòng)脈夾層、氣胸、縱隔氣腫等第二十二 頁 ,共四十五 頁 。胸痛伴起病急劇 ,胸痛迅速達(dá)高峰,往往提示胸腔臟器破裂 (p242。emphysemaaerothorax,andofanchestrapidoftheconcluedrupturethoracicsuddenly:)癥狀168。pain胸痛的伴隨 (b224。ofSimultaneousw232。胸痛常伴有特定體位緩解: 心包炎-坐位(zu242。erect hiatal leaningupposition:胸痛常伴有呼吸困難: 肺炎、氣胸、胸膜炎、肺栓塞、過度換氣綜合征等168。etc.hyperventilation embolismpleurisy, pneumonia,168。胸痛 (xiōnɡ t242。 myocardial anginaheartofand/or)癥狀168。胸痛的伴隨 (b224。chestphenomenon胸痛常伴有深吸氣或打噴 嚏加重 :胸椎病變第十九 頁 ,共四十五 頁 。brustwirble168。胸 痛 (xiōnɡ t242。lungembolism tuberculosis,168。mediastinum168。 esophageal diseases168。 s242。diseases168。andtrachea,nɡ)的伴隨癥狀 chestphenomenonfood胸壁疾病所致的胸痛常于局部壓迫或胸廓活動(dòng)時(shí)加?。皇彻?(sh237。byoftendiseasesthoracicintensifiedItmusculoskeletalandfromthe may costochondralchondrosternalonDirect Neuromusculoskeletalu)或深呼吸而加劇第十六 頁 ,共四十五 頁 。breathingorbybecanandpleurisy,painThebybeItchestreasonoftenneurosis168。 s249。tablets.心絞痛常于用力或精神緊張時(shí)誘發(fā),呈陣發(fā)性,含服硝酸甘油片迅速 (x249。takingreleasedtoispainwith be infarctiontablets. taking released cantension.indusedisAnginaAssociated features影響胸痛 (xiōnɡ t242。原發(fā)性肺癌、縱隔腫瘤可有胸部悶痛。mediastinalcancerprimarilydiagnosedcanchest168。paincorrodeswhenofofthecausedpain168。squeezingpressure,adescribed is myocardial Pectorisnɡ)的性質(zhì)168。heatburn食管炎、膈疝常呈灼痛或灼熱感;第十三 頁 ,共四十五 頁 。painwithoccursdiaphragmatocele Esophagitisboringpainwith Ostalgiaachingoccurs Myosalgianɡ)。肋間神經(jīng)痛呈陣發(fā)性的灼痛或刺痛 (c236。pricking pain paroxysmal neuralgianɡ)的性質(zhì)168。第十二 頁 ,共四十五 頁 。 and often embolismand acutespontaneousngg233。retrosternal also tumer andmediastinalesophagealpain第十一 頁 ,共四十五 頁 。area.anypainlocalizedoinfarction are usually retrosternal. mostacute Angina location of chest pain胸痛 (xiōnɡ t242。 Simultaneous symptoms of pain疼痛的伴隨癥狀168。)、緩解因素 (yīn s249。 Quality 疼痛的性質(zhì) , pressure, tightness, sharp,pleuritic,burning168。nɡ)的診斷和鑒別診斷的特點(diǎn)168。pain有助于胸痛 (xiōnɡof Juddgement the risk degree 判斷危險(xiǎn)度第九 頁 ,共四十五 頁 。cardiogenic)區(qū)分胸痛 (xiōnɡ t242。andMedical history, physical examination , laboratory
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