七年制医学课件耳鼻喉7食管异物教学内容.ppt

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1、七年制医学课件耳鼻喉7食管异物2、Etiology(病因学)(1)Commoninchildrenandtheelders（老人和儿童常见）(2)Diseasesoftheesophogusitself（食道本身病变）(3)Foreignbodymostlylocatedinthefirstnarrow（第一狭窄常见）(4)Animalforeignbodiesareoftenfound（动物性异物常见）Entranceofesophagus（食道入口）3、ClinicalAppearance（临床表现）(1)Dysphagia(吞咽困难)(2)Dynphagiaorodynop

2、hagia(吞咽疼痛)(3)Symptomsofrespiratorysystem(呼吸道症状)Dyspnea(呼吸困难)Apnea（窒息）(4)limittedactivityoftheneck颈部活动受限(5)highfever发热(6)inflammationofesophagus食道穿破感染4、Diagnosis(诊断)(1)Thehistoryofswallowsth.(误吞异物史)(2)Clinicalsymptoms(临床症状)(3)PE（physicalexamination）（体格检查）(4)X-ray:A、Metallicforeignbodies（金属异物）

3、-----easilyB、fishbone.meat(duckchicken)bone（动物骨肉）-------difficultawispofbariumcottonmaybehelpful（钡棉透视）(5)Esophagoscopy（食管镜检查）ToexaminetheesophagusTotakeouttheforeignbodiesTheupperrimofthecoinisjustvisibleinthepostcricoidregionForeignbody,toykey,incervicalesophagusForeignbody,cervicalesophagus

4、5、Complication（并发症）(1)Perforationorinflamationoftheesophagus(食管穿孔或食道炎症)(2)AerodermectasiaorPneumohypoderma（皮下气肿）(3)Periesophagitisormediastinitis(食管周围炎或纵隔炎)(4)Breaking-outofgreatbloodvessel(血管破溃)(5)Tracheo-esophagealfistula(气管食管瘘)6、Treatment(治疗)（1）Removaloftheforeignbody（异物取出术）usuallyrigideso

5、phagoscopy（通常用硬管）(2)Internaltreatment（内科治疗）(3)Managementofcomplication（处理并发症）Thankyou此课件下载可自行编辑修改，仅供参考！感谢您的支持，我们努力做得更好！谢谢