专业综合-----六大症状合并症的注意事项(Professional synthesis - six major symptoms, complications, precautions).docVIP
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专业综合-----六大症状合并症的注意事项(Professional synthesis - six major symptoms, complications, precautions)
专业综合-----六大症状合并症的注意事项(Professional synthesis - six major symptoms, complications, precautions)
Professional synthesis - six major symptoms, complications, precautions
A hemoptysis accompanied by symptoms:
1. hemoptysis accompanied by fever: tuberculosis, pneumonia, pulmonary abscess, epidemic hemorrhagic fever and so on;
2. hemoptysis accompanied by chest pain: pneumococcal pneumonia, pulmonary infarction, etc.;
3. hemoptysis accompanied by purulent sputum: found in pulmonary abscess, bronchiectasis, cavitary pulmonary tuberculosis complicated by infection, etc. Some bronchiectasis shows repeated hemoptysis without purulent sputum, which is called dry bronchiectasis;
4. sputum blood accompanied by severe choking: lung cancer, Mycoplasma pneumonia;
5. hemoptysis accompanied by mucocutaneous hemorrhage: hematologic diseases, epidemic hemorrhagic fever, pulmonary leptospirosis, pulmonary vasculitis, etc. should be considered;
6. hemoptysis accompanied by jaundice: in addition to leptospirosis, we should pay attention to pneumococcal pneumonia and pulmonary infarction.
Two cyanosis accompanied by symptoms and clinical significance
1.: cyanosis with dyspnea in severe heart and lung diseases, acute respiratory tract obstruction and pneumothorax. Methemoglobinemia and sulfhemoglobinemia have obvious cyanosis, but without dyspnea
2. with cyanosis acropachy (toe): mainly in cyanotic congenital heart disease and severe pulmonary pyesis;
3. tachygenesis cyanosis accompanied with disturbance of consciousness: in drugs or chemicals poisoning shock and acute severe pulmonary infection.
Three symptoms and clinical significance of dyspnea
1. dyspnea and wheezing: bronchial asthma and cardiogenic asthma;
2. sudden severe breathing difficulties: acute laryngeal edema, foreign body in trachea, massive embolism, spontaneous pneumothorax, etc.;
3. dyspnea with side chest pain: lobar pneumonia, acute invasive pleurisy, pulmonary infarction, spontaneous pneumothorax, acute myocardial infa
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