SARS非典型肺炎后遗症--培训课件.ppt

病原学、流行病学 疾病 患者 问诊体格检查 发病机理 临床表现 医学知识 辅助检查 综合分析推理 临床表现 临床特征 诊断与鉴别诊断 初步诊断 治 疗 治 疗 传统讲授步骤 临床诊断步骤 Case A male, 31, an engineer Main Complaint: middle fever with fatigue for three days Present History: In recent three days, having middle fever ( T:about 38oc ) accompanied by fairly fatigue and myalgias without any apparent inducements. And beginning to cough with both a little sputum and bloodiness. Common antibiotics and anti-influenza medicines showed no effects on it. Past History: being in good health till now. Physical Examination: T:38.6oc, slight pharynx congestion, coarseness of respiratory sound without dry and moist rales. Lab Examin. And chest radiographs: WBC count:not high ; focal, patchy infiltrates in right lung. Diagnosis: ? Differentiation: ? *普通感冒、流行性感冒 Common cold , Influenza *细菌、病毒、真菌、衣原体肺炎 Pneumonia *肺结核 Tuberculosis of Lungs *肺部肿瘤 Tumor of Lungs *肺吸虫病 Paragonimiasis *急性血吸虫病 Acute Schistosomiasis *AIDS合并肺部感染 AIDS with Infection of Lungs Diagnosis and differentiation *呼吸急促，胸闷 Breath hurried, depressed *持续高热 Sustained fever *胸片呈弥漫片状阴影 Areas of consolidation *白细胞数仍不高 WBC Count not high 淋巴细胞偏低 Lymphocyte decreased *呼吸窘迫综合征表现 ARDS 病例后续改变 Continual Changes 8th day 12th day 18th day Continual chest x-ray changes 疾病诊断思路 基本过程 病 例 临床症状 学 科 系统 器官 器质性 功能性 疾 病 发热气促流行 感染性疾病 呼吸系统 肺 肺组织 肺通气 ？？？ 特征 *普通感冒、流行性感冒 传染弱、卡他症、自限性 *细菌、病毒、真菌、 发热、咳嗽、呼吸困难、