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ID:43227272
大小:1.28 MB
页数:53页
时间:2019-10-05
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1、EMSPulmonaryLectureMikeMD,MPHOutlineAnatomyPhysiologyAirwayManagementMedicalManagementTraumaManagementEpidemiology25%Infectious5%Tb28%Neoplasia13%Multipleormiscellaneous28%UndeterminedRiskFactors–MarlboroMan+/-horseFunctionsofRespiratorySystemMovesAirCommunicationNon-s
2、pecificImmunityAcid/BaseRespiratoryTractAnatomyConductingNose/MouthNasopharynx/OropharnyxLaryngopharynxTracheaRespiratoryTractAnatomyConductingTracheaBronchusBronchioleTerminalBronchioleRespiratoryTractAnatomyRespirationAlveolarductsAlveoliRespiratoryTractAnatomyRespir
3、atoryMechanicsPressureandVolumePV=nRTPV=1Aspressureincreases,volumedecreasesAsvolumeincreases,pressuredecreasesRespiratoryMechanicsPressureVolumeAdhesionComplianceSurfaceTensionGasExchangeRespiratoryMechanicsAdhesionParietalVisceralPleuralFluidRespiratoryMechanicsSurfa
4、ceTensionRespiratoryMechanicsComplianceRespiratoryMechanicsGasExchangeOxygenTransportDissolvedBoundpHO2TemperatureAirwayResistanceR=8nL/R4Cross-sectionalAreaDynamicRespiratoryCycleRespiratoryControlMechanoreceptorsInflationDeflationChemoreceptorspHPCO2PO2RespiratoryDis
5、tressDyspneaOrthopneaPNDCyanosisCentralPeripheralLungSoundsPT630-BreathSoundsRespiratoryDistressAirwayCardiacLungThoracicCavityVascularNeuromuscularRespiratoryDistressO2HypoxiaHypoxemiaRelativeHypoxemiaCO2AcuteChronicInfectionsBronchitisPneumoniaTuberculosisHemoptysisD
6、ualBloodSupplyMechanismsIntravascularInflammatoryCoagulationPathophysiologyIntravascularLVCHFMitralValveStenosisRheumaticHeartDiseasePathophysiologyInflammatoryBronchitisBronchiectasisMycetomaFBPEPneumoniaNeoplasiaTBVasculitidiesPathophysiologyCoagulopathiesHemophiliaT
7、hrombocytopeniaAnticoagulantsThrombolyticsClinicalFeaturesHistoryFeverSputumWeightlossNightsweatsPhysicalExaminationVitalsNasalCavityandoropharynxMurmursClubbingRalesvsRhonchiDiagnosticApproachConfirmLocationPseudo,GIorpulmonaryUrgentBronchoscopyCXRNeoplasia20-30%norma
8、lChestCTNeoplasiavsbronchiectasisTreatmentIdentifyhistoryofTborCOPDDecubitusPositionIntubationwithlargeETTMainstemBro
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