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,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,单击此处编辑母版标题样式,*,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,猫呼吸系统疾病诊断,51、山气日夕佳,飞鸟相与还。,52、木欣欣以向荣,泉涓涓而始流。,53、富贵非吾愿,帝乡不可期。,54、雄发指危冠,猛气冲长缨。,55、土地平旷,屋舍俨然,有良田美池桑竹之属,阡陌交通,鸡犬相闻。,猫呼吸系统疾病诊断猫呼吸系统疾病诊断51、山气日夕佳,飞鸟相与还。,52、木欣欣以向荣,泉涓涓而始流。,53、富贵非吾愿,帝乡不可期。,54、雄发指危冠,猛气冲长缨。,55、土地平旷,屋舍俨然,有良田美池桑竹之属,阡陌交通,鸡犬相闻。呼吸系统疾病的呼吸方式呼吸系统疾病的诊断,猫呼吸系统疾病诊断51、山气日夕佳,飞鸟相与还。猫呼吸系统疾,1,猫呼吸系统疾病诊断课件,2,猫呼吸系统疾病诊断课件,3,猫呼吸系统疾病诊断课件,4,猫呼吸系统疾病诊断课件,5,定义,呼吸困难,-,困难或呼吸困难,端坐,-,呼吸困难,在一坐,/,站立,呼吸急促(,polypnea,),-,快速呼吸的,高通气,-,增加呼吸的速度和深度,定义呼吸困难-困难或呼吸困难,6,呼吸困难和端坐,呼吸困难和端坐,7,咯血,咯血,8,紫绀,=,蓝变色的毛细血管由于减少血液中血红蛋白的粘膜。,紫绀=蓝变色的毛细血管由于减少血液中血红蛋白的粘膜。,9,“,Kevie”Souders 6,月龄,男,小型犬,提出投诉: 嗜睡和软弱,“Kevie”Souders 6月龄,男,小型犬 提出投诉,10,猫呼吸系统疾病诊断课件,11,猫呼吸系统疾病诊断课件,12,病史,病史,13,History (Hx),Signalment,(Age, Breed, Sex),Primary Complaint,Past Pertinent Medical Hx,Current Medical Hx,History (Hx)Signalment,14,体格检查,体格检查,15,从历史和体检:上气道疾病,应下气道疾病的区别,从历史和体检:上气道疾病,应下气道疾病的区别,16,Historical Signs Associated with Specific Anatomic Involvement of the Respiratory System,Nasal CavityNasal discharge, sneezing, snorting, nasal rubbing, epistaxis,PharynxHypersalivation, gagging, retching, dysphagia, inspiratory noise,LarynxInspiratory noise and dyspnea, gagging, stridor, occ. cough,TracheaUpper third: inspiratory dyspnea, cough,Lower two-thirds: cough,BronchiCough, dyspnea (esp. expiratory), panting in cats,AlveoliCough, tachypnea, dyspnea (esp. expiratory),Pleural effusion Tachypnea (often rapid, shallow),Historical Signs Associated wi,17,Upper Airway Disease,Sneeze (reverse sneeze),Nasal Discharge,Facial Swelling,Stertorous Breathing (snoring),Voice Change,Loud upper respiratory sounds,Inspiratory Dyspnea,Cough,Upper Airway DiseaseSneeze (re,18,Lower Respiratory Disease,Cough,Expiratory or Inspiratory Dysnea,Hyperpnea,Abnormal Lung Sounds,Rapid Shallow Respiration,Lower Respiratory DiseaseCough,19,呼吸系统的体检,呼吸系统的体检,20,猫呼吸系统疾病诊断课件,21,猫呼吸系统疾病诊断课件,22,猫呼吸系统疾病诊断课件,23,猫呼吸系统疾病诊断课件,24,猫呼吸系统疾病诊断课件,25,猫呼吸系统疾病诊断课件,26,猫呼吸系统疾病诊断课件,27,猫呼吸系统疾病诊断课件,28,猫呼吸系统疾病诊断课件,29,永远不会忘记甲状腺,永远不会忘记甲状腺,30,检查的下呼吸道,评分: 努力: 深度: 噪声: 第一期呼吸窘迫,检查的下呼吸道 评分: 努力: 深度: 噪声: 第一,31,查理鲁宾斯坦,查理鲁宾斯坦,32,气喘吁吁通常意味着严重的猫呼吸道疾病,气喘吁吁通常意味着严重的猫呼吸道疾病,33,触诊胸部,触诊胸部,34,打击,打击,35,听诊,听诊,36,猫呼吸系统疾病诊断课件,37,猫呼吸系统疾病诊断课件,38,肺音,呼吸声音(肺泡音) 不定声音裂纹(罗音) 喘鸣(啰音),肺音 呼吸声音(肺泡音) 不定声音裂纹(罗音) 喘鸣(,39,异常呼吸音(大声,空气量增加空气速度增加综合龙(仍允许气流) 肺部肿块(仍允许气流,),异常呼吸音(大声 空气量增加空气速度增加综合龙(仍允,40,异常呼吸音(软),恶性通货膨胀肺气肿增加胸膜腔气胸胸腔积液膈疝,异常呼吸音(软)恶性通货膨胀肺气肿增加胸膜腔气胸,41,Crackles The timing during respiratory cycle should be noted. Most are heard at the end of inspiration.,Crackles The timing during r,42,Late Inspiratory,Early Inspiratory/Early Expiratory,Pulmonary EdemaObstructive Diseases,Interstitial PneumoniaFeline Asthma,Pulmonary InfiltratesBronchopneumonia,Pulmonary FibrosisTracheobronchial Fluid Accumulation,Mycotic Pneumonia,Possible causes of crackles heard at different times in the respiratory cycle,Late InspiratoryEarly Inspir,43,喘鸣通常是由于阻塞性疾病和呼气时听到的,喘鸣通常是由于阻塞性疾病和呼气时听到的,44,谢谢!,61,、奢侈是舒适的,否则就不是奢侈。,CocoChanel,62,、少而好学,如日出之阳;壮而好学,如日中之光;志而好学,如炳烛之光。,刘向,63,、三军可夺帅也,匹夫不可夺志也。,孔丘,64,、人生就是学校。在那里,与其说好的教师是幸福,不如说好的教师是不幸。,海贝尔,65,、接受挑战,就可以享受胜利的喜悦。,杰纳勒尔,乔治,S,巴顿,谢谢!61、奢侈是舒适的,否则就不是奢侈。CocoCha,45,
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