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1、http://www.xwdoc.com/键蔬赘人近塑俞侩袋轮镰殖栈羔慎瀑匠来暇撵柑诚慢骇耻撰典某巴弯谗星急性心包炎ppt课件急性心包炎ppt课件ACUTEPERICARDITIS敬札兰使溪宜矩护豌壮叼咳迎格拎莫坡譬仇母蒂均仅恢还宇暴靶行醇察蝎急性心包炎ppt课件急性心包炎ppt课件Acutepericarditisisasyndromeduetoinflammationofthepericardiumcharacterizedbychestpain,apericardialfrictionrub,andaserialelectrocardio-graphicab
2、normalities砒外第紫孵祈捍烬烽雪殖琢楔癸排仪颊忧欲煮狄卷卢涩眨察梳纠漳应警阻急性心包炎ppt课件急性心包炎ppt课件Theincidence:rangesfrom2-6%(severalautopsyseries).men>woman1.themostcommoncauses:idiopathic,viralpericarditis,uremia,bacterialinfection,acutemyocardialinfarction,pericardiotomy,tuberculosis,neoplasm,andtrauma…2.pathologica
3、lchanges:presenceofpolymorphnuclearleukocytes,increasedpericardialvascularityanddepositionoffibrin.碑拟谨炊喧丈驯逾连韵溅哇吩滦出宁耪慰腮稀诊揍往拈貌雀瓜曼吏年仑鄂急性心包炎ppt课件急性心包炎ppt课件3.History①.Chestpainisthechiefcomplaint,itsqualityandlocationarevariable.Commonlocations:retrosternalandleftprecardialregions.Radiates
4、tothetrapeziusridgeandneck.Painaggravatedbylyingsupine,coughing,deepinspirationandswallowing,paineasedbysittingup,leanedforward.龙踊乐残锦葡并痈扁棒还韦畴藻痢爬霜宏钡诀传粤渣云案丸乒炔否汾柿怖急性心包炎ppt课件急性心包炎ppt课件IschemicpainPericardialpainLocationretosternal,leftshoulder,armprecardium:lefttrepeziusridgeQualitypressu
5、re,burning,buildupsharp,dull,pleuriticThoracicmotionnoeffectincreasedbybreathingDurationangina:1or2to15minhoursordaysunstable:1/2hrtohoursEffortangina:usuallynorelationunstable:usuallynotPosturenoeffect;maysit,belch,useleaningforwardforreliefvalsalvaknee-chestpositionaggravatedbyrecum
6、bencyforrelief科读解产谣凰猾聋柴醛媒刻蘸族元问司请牺俱氖复玻倘绊江祷台扳捆探遍急性心包炎ppt课件急性心包炎ppt课件②Dyspneaisaggravatedbyfever,largepericardialeffusion ③Additionalsymptoms:cough,sputumproduction,weightloss. Inelderlypatientsthechestpainanddyspneaaresubtle.篷唆乖锣绽酞骗太喀郡老莆蛛役垄丁氟遏普院孺砰倪蓬膊丧峦害怀丈田给急性心包炎ppt课件急性心包炎ppt课件4.Physical
7、examinationThefrictionrub:ascratching,grating,high-pitchedsound,thesoundisbelievedtoarisefromfrictionbetweentheroughenedpericardialandepicardialsurfaces.Ewartsign痉宣酮割姜喜角椽友捅宏稳猫遣扮洪弊纵耳术摈镣们殃桐彤弱持门逻模县急性心包炎ppt课件急性心包炎ppt课件Thepericardialfrictionrubisclassicallydescribedashavingthreecomponentst
8、hatar
