教学查房哮喘.英文PPT课件

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1、TeachingwardroundAsthmaMainContentsCasereportChiefphysicianmakesupplementaryphysicianvisitsandmainchestexaminationforthepatientCorrectionofphysicianvisitsandexaminationintheexistingproblemsCasediscussionCasereport王钦平70yearsold379294主诉：反复发作性喘息14年，加重7天。肺功能：FEV1：31%，FEV1/FVC:96%Correctiono

2、fphysicianvisitsandexaminationintheexistingproblemsCasediscussionTheDefinitionOfAsthma?Attheageof42,forasthma,diedinThailand,Chiangmai,OnMay8,in1995.CasediscussionThePathogenesisOfAsthma?PathogenesisAssociatedwithmanygenetic,andatthesametimebythedualeffectsofgeneticfactorsandenvironment

3、alfactors.ThePathogenesisOfAsthmaGeneticfactorsEnvironmentalfactorsAirwayhyperresponsivenessAirflowobstructionRiskfactors(seizures)symptomsCasediscussionClinicalManifestations?ClinicalManifestationssymptomsSigns喘息Wheezing呼吸困难Dyspnea咳嗽Cough胸闷ChestdistressWheezingsoundChestistoomuchaircon

4、dition.severeasthmawithoutwheezingsoundsilence.SeriousHROrthopnea端坐呼吸andheartrateincreasefast,pulsusparadoxus奇脉,cyanosis紫绀ClinicalManifestationsThetypicalbronchialasthma:Attacks:recurrentofthebreathdifficultybreathing,thereisseasonal,associatedwithexogenousinhaledallergens,andlightnigh

5、theavyday.Diffuse:acuteonset,dualpulmonarydiffusewheezingsound,giveprioritytowithexpiratoryphase.Reversible:thesignsandsymptomscanalleviatebyoneself,fromallergensorapplicationafterbronchodilators.典型支气管哮喘:攻击:复发性的呼吸呼吸困难,有季节性,与外生吸入过敏原有关,轻夜重天。扩散:急性发作,双肺弥漫性喘息的声音,以呼气为主的阶段。可逆:症状和体征可以自行缓解,从支气管

6、扩张剂后过敏原或应用程序。ClinicalManifestationsNotthetypicalbronchialasthma:paroxysmalbosomfrowstyorrefractorycough.咳嗽变异性哮喘ClinicalManifestationsCriticalasthma(fatal):oftenreferredtoas"statusasthmaticus,"characterizedbydifficultybreathing,violetpurple,sweat,coldlimbs,pulsefinevelocity,bothlungswi

7、thwheezingsound.Canbethreateningthelifeofthepatient.Sosevereasthmaattacksisasthmaisoneofthemostcommonemergency.重要的哮喘(致命的):通常被称为“积状态,表现为呼吸困难,紫紫,汗,冰冷的四肢,脉冲速度,两肺与喘息的声音。可以威胁病人的生命。严重哮喘是哮喘是最常见的一种紧急情况。CasediscussionDiagnosisstandardsofasthma？Diagnosisstandardsofasthmasymptomssignsreco