肺炎2009幻灯片.pptVIP

肺 炎Pneumonia Pathologic physiology 循环系统 神经系统 水电解质 消化系统 肺A压增高 中毒性 心肌炎 心衰 代酸 中毒性 肠麻痹 胃肠粘膜 屏障功能 脑水肿 颅压增高 呼酸 K+↑ 水钠储留 毒血症 PaO2↓,PaCO2↑ Cardinal symptom fever cough breathlessness constitutional symptom Clinical manifestation Common pneumonia Clinical manifestation Physical findings tachypnea flaring of alaenasi and three depressions sign cyanochroia widespread rales Common pneumonia 2 months RR≧60次/分 2-12months RR≧50次/分 1-5years RR≧40次/分 5 years RR≧30次/分 Clinical manifestation Severe pneumonia Respiratory----respiratory failure Circulation ----toxic myocarditis,cardia fail