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时间:2020-03-24
《上海第二医科大学仁济医院临床医学院.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、JL海交通大学医学院仁济医院临床医学院理论课教案第1次课教学方式大课学时专业医学班级07年4月21口题目Cough,sputumproduction,&hemoptysis;Chestpain(胸部疾病的症状)本要课求目的•Understandthemechanismsofsymptoms(cough,sputumproduction,&hemoptysis)andtheunderlyingcommonrespiratorydiseases(理解胸部疾病常见症状的机制及其反映的可能潜在疾病)•Makefamiliarwiththecharactersofthesymptoms(熟悉
2、各症状的特征)•Grasptheimportantaspectofthesesymptomsinaimtodiagnosetheunderlyingdisease(掌握症状血皇本要点)•Grasptheprincipleofdifferentiatehemoptysisfromhematomesis(掌握咯血与呕血的鉴别)•Makefamiliarwiththecommoncausesofchestpain;thedifferentmanifestationshelpingforcorrectdiagnosis(熟悉胸痛的各种常见疾病及其各自特征与区别)本点课、的难重点1.them
3、echanismofcoughreflux:distributionofafferentsignalreceptors.(咳嗽反射的机制,传入性信号感受器的分布)2.procedureofcoughconductedbyaseriasofactivities.(咳嗽过程的一系列活动)3.differentcharactersofsputumindicatedifferentunderlyingdisease(不同性状痰液可能提示的各种潜在疾病)4.hemoptysisbeingdifferentiatedfromothertypeofbleedingoutofmouth.(鉴别咯血
4、与其他经过口腔排岀的出血)5.differenciatingmanifestationsofchestpain/discomfortforcorrectdiagnosisoftheunderlyingdiseases(鉴别胸痛/胸部不适的特点以正确作出诊断)本材课及使参用考教书诊断学.■■…高等医药院校教材内科疾病诊断与鉴别诊断problemsinpulmonarymedicinefortheprimaryphysician.ByRoberth.Poe,M.D.Lea&Febiger.Philadelphia,1982.Chest2006;129supplement木用电次教化课具
5、器应及材电脑CAI技术Coghisthemostcommonofrespiratorysymptoms,occuningwithawidevarietyofdiseasesthataffecttherespiratorytract.3min.Itisaprotectivereflux,itspresentusuallyimpliesanunderlyingabnormalityofrespiratorysystemorothersystemssuchascardiovascular.3min.Therefluxarc:imtatingsignals;afferentnerve,co
6、ughcenter;efferentinformationtotheeffectposition:glottis,muscles;Aseriesofactivitiesproducinghighairflowtobringoutmaterialsfromairwayorevaporatestheirritation6min.Affectingfactorsanyfactorthatinterruptthestepswilldecreasethecleaningeffectsofacough,anesthesiaandsuppressivedrugs,failedclosureoft
7、heglottis3minCommoncauses:inflammatoryrespiratorydiseases;neoplasms;Mechanicalandchemicalirritations;cardiovascularabnormalities;pleuralandchestwalldiseases・Generaldiseasesaffectingtherespiratorysystem.;andlessseeninemotionalreasons.10m
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