西医内科学复习纲全通道绿色版.doc

一、肺炎症状、治疗（P37 P40） 1.寒战、高热 2.咳嗽、咳痰 3.胸痛 4.呼吸困难 5.其他症状 1.一般治疗 2.对症治疗 3.抗菌药物治疗 4.感染性休克治疗 二、慢性支气管炎的诊断标准（P11） 临床上凡有慢性或反复发作的咳嗽、咳痰货伴喘息，每年发病至少持续3个月，并连续两年或以上者，在排除 其他心、肺疾患后，诊断即可成立 三、阻塞性支气管炎的检查（最优价值的检查）（P14） 1.X线检查 2.CT检查 3.肺功能检查 4.动脉血气分析 四、支气管哮喘的症状、体征、分级标准、治疗原则、与心源性哮喘的鉴别（P24 25 26） 症状、体征：与哮喘相关的症状有咳嗽、喘息、呼吸困难、胸闷、咳痰等。典型的表现是发作性伴有哮鸣音的呼气性呼吸困难。严重者可被迫采取坐位或呈端坐呼吸，干咳或咯大量白色泡沫痰，甚至出现紫绀等。哮喘症状可在数分钟内发作，经数小时至数天，用支气管扩张药或自行缓解。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%