七年制医学ppt课件 耳鼻喉 5喉阻塞.pptVIP

喉阻塞;1. Etiology 病因学 (1) Inflamation 炎症 (2) Trauma 外伤 (3) Foreign body 异物 (4) Tumor 肿瘤 (5) Deformity 畸形 (6) paralysis of vocal cord 声带瘫痪 （7）Edema 水肿;2. Clinical Appearance 临床表现 (1) inspiratory dysplasia 吸气性呼吸困难 (2) inspiratory strider 吸气性喘鸣 (3) retraction of the four concave signs 四凹征 (4) hoarseness 声嘶 (5) cyanosis （紫绀）;吸气期呼吸困难示意图;吸气期软组织凹陷;3. Examination I no inspiratory dysplasia in silence II inspiratory dysplasia in silence without hypoxia（缺氧） III inspiratory displasia with hypoxia IV inspiratory dysplasia seriously ;4. Diagnosis easy to diaglosis 5. differential diagnosis inspiratory dysplasia （吸气性呼吸困难） expiratory displasia（呼气性呼吸困难） mixed dysplasia（混合性呼吸困难）;3种阻塞性呼吸困难鉴别要点;6. Treatment I to make the original disease clear and treat it at once 明确病因，积极治疗 II inflamation------ enough antibiotics and hormone 药物治疗 tumor or trauma paralysis of vocal cord ------ tracheotomy 可行气管切开术 III inflamation--- medicine treatment 药物治疗 Prepare for the tracheotomy准备气管切开术 -- Tumor------ tracheotomy at once 立刻气管切开术 IV Time is important tracheotomy immediately 气管切开术 或 环甲膜切开术;气管切开术