七年制医学课件 耳鼻喉 5喉阻塞.ppt

3种阻塞性呼吸困难鉴别要点 * * laryngemphraxis （喉梗阻） lesions of larynx and neighbor tissuse lead to the obstruction of the airway(通道) and finally result in the dyspnea（呼吸困难）. narrowness----- obstruction 1. Etiology 病因学 (1) Inflamation 炎症 (2) Trauma 外伤 (3) Foreign body 异物 (4) Tumor 肿瘤 (5) Deformity 畸形 (6) paralysis of vocal cord 声带瘫痪 （7）Edema 水肿 2. Clinical Appearance 临床表现 (1) inspiratory dysplasia 吸气性呼吸困难 (2) inspiratory strider 吸气性喘鸣 (3) retraction of the four concave signs 四凹征 (4) hoarseness 声嘶 (5) cyanosis （紫绀） 吸气期呼吸困难示意图 吸气期软组织凹陷 3. Examination I no inspiratory dysplasia in silence II inspiratory dysplasia in silence without hypoxia（缺氧） III inspiratory displasia with hypoxia IV inspiratory dysplasia seriously 4. Diagnosis easy to diaglosis 5. differential diagnosis inspiratory dysplasia （吸气性呼吸困难） expiratory displasia（呼气性呼吸困难） mixed dysplasia（混合性呼吸困难） *