呼吸系統(tǒng)疾病英文ppt課件(已改無錯(cuò)字)
2023-04-22 01:49:51 本頁面
【正文】 32 Physical examination ?R 60~80/min ?HR 160～ 200/min ?Nasal flare, intercostal and subcostal retractions ?Pallor, cyanosis ?Hyperexpanded chest， expiratory phase ↑ wheeze， widespread fine crackles ?Liver and spleen palpable below the costal margin ?Critical phase 48～ 72h afer onset of dyspnea。 recover during 5～ 15days 33 Laboratory examination ?WBC and differential cells count normal ?Virus detected by 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。兩肺中內(nèi)帶多數(shù)小斑片狀及小結(jié)節(jié)病灶影。無病灶之肺部透過度增高。 37 Treament ? Supportive treatment ? cool, humidified oxygen supply, maintain SaO2 94%~96%。 ? 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。兩肺中下野中內(nèi)帶見斑片狀陰影，密度較均勻。部分病灶融合成范圍稍大的片狀影 49 (2) Severe pneumonia： other systems involved myocarditis, heart failure toxic encephalopathy toxic intestinal paralysis 50 ? Empyema ? Pyopneumothorax ? pneumatocele 51 findings: WBC, NBT,CRP Pathogen(antigen and/or antibody) chest xray 52 Feve
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