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ID:21334395
大小:1.21 MB
页数:40页
时间:2018-10-21
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1、RespiratoryDysfunctionAnatomyandPhysiologyoftheChildhoodRespiratorySystemUpperrespiratorytractNosePharynxLarynxEpiglottisLowerrespiratorytractTracheaBronchiBronchiolesandalveoliTheUpperAirwaydifferences:shorterandnarrow4mm<20mmnosebreatherairwayresistanceloosely
2、mucousmembranesandsofttissueTheLowerAirwaydifferences:rightbronchusismorewider,shorter,verticallessalveolarsurfaceareaAnatomyandPhysiologyoftheChildhoodRespiratorySystemPneumoniaDefinitionAninflammationorinfectionofthebronchiolesandalveolarspacesofthelungsPneumo
3、niaIntroductionoccur:ininfantsandyoungchildrenrecovery:childrensoonerthanadultsexisttype:diseaseorcomplicationseason:latewinterandearlyspringPneumoniaLobarpneumoniaBronchopneumonia(lobularpneumonia)InterstitialpneumoniaPneumoniaclassificationMorphologicalclassif
4、icationEtiologicAgentInfectiousvirusbacterialMycoplasma(支原体肺炎)chlamydial(衣原体肺炎)fungipneumocystis(肺囊虫)NoninfectiousforeignbodyaspirationPneumoniaclassificationCourseAgentAcute<1monthProgressive1-3monthsChronic>3monthsPneumoniaclassificationStateofIllnessMildSever
5、ePneumoniaclassificationtheclinicalmanifestationsofbronchopneumoniaMildbronchopneumoniafever:irregularfevercough:dry,hacking,non-productivetoproductivecoughtachypnea:RR40~80ts/mnasalflaring,sighingrespiration,threedepressionsignsandcyanosisfixedfinemoistralesPne
6、umoniatheclinicalmanifestationsofbronchopneumoniaSeverebronchopneumoniacirculationsystemmanifestationsofmyocarditissignsofheartfailurenervoussystemgastrointestinalChest:X-rayfilmPneumoniaSeverebronchopneumoniaCirculationsystemmyocarditis,congestiveheartfailurepa
7、thogensinvadingthemyocardiumandproducetoxintoxicmyocarditishypoxiapulmonaryarteryhypertensionCHFPneumoniamanifestationSeverebronchopneumoniamanifestationsofmyocarditispaletachycardiadiminishedcardiacsoundandarrhythmiaSTslowingdownTwaveupdownPneumoniamanifestatio
8、nSeverebronchopneumoniaSignsofheartfailureRestlessobviouscyanosisgreyfacesTachypnea:RR>60ts/mTachycardia:HR>160-180bpmSweatingdyspneacervicalveindistentionoliguriaora
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