七年制医学ppt课件耳鼻喉6气管、支气管异物

Foreign bodies in the trachea and bronchi气管、支气管异物气管、支气管异物Foreign bodies in the 11、Preface(概论）概论）(1)One of the three emergent diseases （三大急重症之一）（三大急重症之一）(2)Often happened in children:90%（小小 儿儿 多多 见）见）(3)Often happened in the right bronchus（右侧支气管多见）（右侧支气管多见）1、Preface(概论）2气管、支气管示意图气管、支气管示意图气管、支气管示意图3 2、Etiology（病因学）（病因学）(1)ill-development of the teeth in children（小儿牙齿发育不全）(2)ill-development of the protective function in the throat 喉部保护功能不健全）(3)the state of coma or general aneasthesia （昏迷或全身麻醉）(4)medical incidents(医源性因素)2、Etiology（病因学）(1)ill-deve4Foreign body,right bronchusForeign body,right bronchus5Foreign body,metal toy,left bronchusForeign body,metal toy,left 6Foreign body,right bronchusForeign body,right bronchus7Foreign body,left main bronchusForeign body,left main bronch8Foreign body,left bronchusForeign body,left bronchus93、Pathology(1)Vegetable bronchitis（植物性支气管炎）（植物性支气管炎）(2)Incomplete obstruction（不完全阻塞）（不完全阻塞）-Pulmonary emphysema（肺气肿）(3)Complete obstruction(完全阻塞完全阻塞)-Obstructive atelectasis(阻塞性肺不张)3、Pathology(1)Vegetable bronc10七年制医学ppt课件耳鼻喉6气管、支气管异物11七年制医学ppt课件耳鼻喉6气管、支气管异物124、Clinical Appearance（临床表现）（临床表现）(1)异物进入期异物进入期 Spamodic chocking and coughing often with cyanosis(阵发性呛咳、阵发性呛咳、咳嗽伴窒息咳嗽伴窒息)(2)无症状间歇期无症状间歇期 Symptomless interval(3)刺激或炎症期刺激或炎症期 Inflamation and obstruction（4）并发症）并发症期期 complications 炎症炎症-脓胸、脓脓胸、脓肿肿4、Clinical Appearance（临床表现）(1)135、Diagnosis（诊断）（诊断）(1)History of inhaled foreign bodies（误吸异物史）(2)Examination（检查）A、PE(physical examination)（体格检查）B、X-ray:Pneumonia (肺炎)Atelectusis (肺不张)Emphysema(肺气肿)-mediastinum shift (纵隔摆动)C、Bronchoscopy (支气管镜检查)The most dependentable way to diagnosis5、Diagnosis（诊断）(1)His146、Management（处理）（处理）Removal of the foreign body as soon as possible（尽快取出异物）（尽快取出异物）6、Management（处理）Removal of t15