(精选)【医学课件课件】急性胸痛的原因与治疗教学课件.pptVIP

Emergency Medicine and Technique;Emergency Medicine and Technique Differential diagnosis 症状鉴别诊断 Chest pain 胸痛 Abdominal pain 腹痛 Fever 发热;The introduction of emergency medicine急诊医学简介;;;;;What are qualified emergency physician needs;High-risk Chest Pain急诊常见的高危胸痛;;Diagnosis on Acute Chest Pain急性胸痛诊断思路;characteristics of chest pain有助于胸痛的诊断和鉴别诊断的特点; location of chest pain胸痛的部位;The pain of esophageal disease, mediastinal hernia and mediastinal tumer is also a retrosternal .食管疾患、隔疝、纵隔肿瘤的疼痛也位于胸骨后。 spontaneous pneumothorax, acute pleuritis and pulmonary embolism et.al often unilateral and pleuritic.自发性气胸、急性胸膜炎、肺栓塞等常呈患侧的剧烈胸痛。 ;Quality of Chest Pain胸痛的性质;Quality of Chest Pain胸痛的性质;Associated features影响胸痛的因素;Cardiac neurosis is often the reason of chest pain. It can be relieved by movement.心脏神经官能症所致胸痛则常因运动反而好转 The chest pain of pleurisy, pneumothorax, and pericarditis can often be exacerbated by cough or deep breathing 胸膜炎、自发性气胸、心包炎的胸痛常因咳嗽或深呼吸而加剧;Associated features影响胸痛的因素; Simultaneous phenomenon of chest pain胸痛的伴随症状 ; Hemoptysis: tuberculosis, pulmonary embolism and primary lung cancer. 胸痛常伴有咯血：肺结核、肺栓塞、原发性肺癌。 Sneeze: brustwirble disease 胸痛常伴有深吸气或打喷嚏加重：胸椎病变 ;Simultaneous phenomenon of chest pain 胸痛的伴随症状;Dyspnea: pneumonia, pneumothorax, pleurisy, pulmonary embolism and hyperventilation syndrome, etc. 胸痛常伴有呼吸困难：肺炎、气胸、胸膜炎、肺栓塞、过度换气综合征等 Abatement position: cardiopericarditis:sitting up and leaning forward; esophageal hiatal hernia: erect position 胸痛常伴有特定体位缓解：心包炎－坐位及前倾位；食管裂孔疝－立位 ;Simultaneous phenomenon of chest pain胸痛的伴随症状;Haemodynamics: fatal symptoms are appeared as hypotension/venous engorgement such as pericardial tamponade, acute myocardial infarction，severe pulmonary embolism , dissection of aorta 胸痛伴血流动力学异常－低血压／及静脉怒张则提示致命性胸痛（心包填塞、急性心肌梗塞、巨大肺栓塞、主动脉夹层） ;Evaluation Cardiogenic Chest Pain心源性胸痛的急诊评价方法;Chest pain without typical ECG change: serum myocardium maker\ treadmill exercise \ UCG \ nuclear cardiology (Non-abnormal 50% AMI during the diagnose of 20%AM