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ID:39975245
大小:1.28 MB
页数:53页
时间:2019-07-16
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1、EMSPulmonaryLectureMikeMD,MPHOutlineAnatomyPhysiologyAirwayManagementMedicalManagementTraumaManagementEpidemiology25%Infectious5%Tb28%Neoplasia13%Multipleormiscellaneous28%UndeterminedRiskFactors–MarlboroMan+/-horseFunctionsofRespiratorySystemMovesAirCommunicationNon-specificImmunityAcid/BaseRespira
2、toryTractAnatomyConductingNose/MouthNasopharynx/OropharnyxLaryngopharynxTracheaRespiratoryTractAnatomyConductingTracheaBronchusBronchioleTerminalBronchioleRespiratoryTractAnatomyRespirationAlveolarductsAlveoliRespiratoryTractAnatomyRespiratoryMechanicsPressureandVolumePV=nRTPV=1Aspressureincreases,v
3、olumedecreasesAsvolumeincreases,pressuredecreasesRespiratoryMechanicsPressureVolumeAdhesionComplianceSurfaceTensionGasExchangeRespiratoryMechanicsAdhesionParietalVisceralPleuralFluidRespiratoryMechanicsSurfaceTensionRespiratoryMechanicsComplianceRespiratoryMechanicsGasExchangeOxygenTransportDissolve
4、dBoundpHO2TemperatureAirwayResistanceR=8nL/R4Cross-sectionalAreaDynamicRespiratoryCycleRespiratoryControlMechanoreceptorsInflationDeflationChemoreceptorspHPCO2PO2RespiratoryDistressDyspneaOrthopneaPNDCyanosisCentralPeripheralLungSoundsPT630-BreathSoundsRespiratoryDistressAirwayCardiacLungThoracicCav
5、ityVascularNeuromuscularRespiratoryDistressO2HypoxiaHypoxemiaRelativeHypoxemiaCO2AcuteChronicInfectionsBronchitisPneumoniaTuberculosisHemoptysisDualBloodSupplyMechanismsIntravascularInflammatoryCoagulationPathophysiologyIntravascularLVCHFMitralValveStenosisRheumaticHeartDiseasePathophysiologyInflamm
6、atoryBronchitisBronchiectasisMycetomaFBPEPneumoniaNeoplasiaTBVasculitidiesPathophysiologyCoagulopathiesHemophiliaThrombocytopeniaAnticoagulantsThrombolyticsClinicalFeaturesHistoryFeverSputumWeightlossNightsweatsPhysicalExaminationVitalsNasalCavityandoropharynxMurmursClubbingRalesvsRhonchiDiagnosticA
7、pproachConfirmLocationPseudo,GIorpulmonaryUrgentBronchoscopyCXRNeoplasia20-30%normalChestCTNeoplasiavsbronchiectasisTreatmentIdentifyhistoryofTborCOPDDecubitusPositionIntubationwithlargeETTMainstemBro
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