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ID:20253962
大小:1.28 MB
页数:53页
时间:2018-10-11
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1、EMSPulmonaryLectureMikeMD,MPHOutlineAnatomyPhysiologyAirwayManagementMedicalManagementTraumaManagementEpidemiology25%Infectious5%Tb28%Neoplasia13%Multipleormiscellaneous28%UndeterminedRiskFactors–MarlboroMan+/-horseFunctionsofRespiratorySystemMovesAirCommunic
2、ationNon-specificImmunityAcid/BaseRespiratoryTractAnatomyConductingNose/MouthNasopharynx/OropharnyxLaryngopharynxTracheaRespiratoryTractAnatomyConductingTracheaBronchusBronchioleTerminalBronchioleRespiratoryTractAnatomyRespirationAlveolarductsAlveoliRespirato
3、ryTractAnatomyRespiratoryMechanicsPressureandVolumePV=nRTPV=1Aspressureincreases,volumedecreasesAsvolumeincreases,pressuredecreasesRespiratoryMechanicsPressureVolumeAdhesionComplianceSurfaceTensionGasExchangeRespiratoryMechanicsAdhesionParietalVisceralPleural
4、FluidRespiratoryMechanicsSurfaceTensionRespiratoryMechanicsComplianceRespiratoryMechanicsGasExchangeOxygenTransportDissolvedBoundpHO2TemperatureAirwayResistanceR=8nL/R4Cross-sectionalAreaDynamicRespiratoryCycleRespiratoryControlMechanoreceptorsInflationDeflat
5、ionChemoreceptorspHPCO2PO2RespiratoryDistressDyspneaOrthopneaPNDCyanosisCentralPeripheralLungSoundsPT630-BreathSoundsRespiratoryDistressAirwayCardiacLungThoracicCavityVascularNeuromuscularRespiratoryDistressO2HypoxiaHypoxemiaRelativeHypoxemiaCO2AcuteChronicIn
6、fectionsBronchitisPneumoniaTuberculosisHemoptysisDualBloodSupplyMechanismsIntravascularInflammatoryCoagulationPathophysiologyIntravascularLVCHFMitralValveStenosisRheumaticHeartDiseasePathophysiologyInflammatoryBronchitisBronchiectasisMycetomaFBPEPneumoniaNeop
7、lasiaTBVasculitidiesPathophysiologyCoagulopathiesHemophiliaThrombocytopeniaAnticoagulantsThrombolyticsClinicalFeaturesHistoryFeverSputumWeightlossNightsweatsPhysicalExaminationVitalsNasalCavityandoropharynxMurmursClubbingRalesvsRhonchiDiagnosticApproachConfir
8、mLocationPseudo,GIorpulmonaryUrgentBronchoscopyCXRNeoplasia20-30%normalChestCTNeoplasiavsbronchiectasisTreatmentIdentifyhistoryofTborCOPDDecubitusPositionIntubationwithlargeETTMainstemBro
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