咳嗽与咳痰（CoughExpectoration）.ppt

咳嗽与咳痰（ Cough Expectoration) 原南京中大附属医院神内科主任、硕士生导师 佛山大学医学院医学系孟红旗教授、主任医师 Professor、Doctor director 、Neurologist Concept and Definition of cough Concept and definition of Expectoration cough and expectoration 概 念 咳嗽（cough）是一种保护性反射动作，呼吸道内的分泌物或进入气道的异物可借咳嗽反射排除体外。 咳痰（expectoration）是通过咳嗽动作将呼吸道或肺部的分泌物排出口腔外的动作。 Mechanism Mechanical, chemical, inflammation →larynx, trachea, bifurcation of the bronchi. →Afferent fibers are in the vague nerve →cough center. Efferent signals →larynx → muscles of diaphragm, chest wall, abdomen A coordinated series of movement complete the cough.