(诊断学课件）诊断第一篇 疼痛教材课程.pptVIP

疼 痛pain;疼痛是临床常见症状 疼痛具有保护作用 疼痛可致生理功能紊乱，甚至休克 Pain is a common clinical symptom Pain has protective effect Pain can cause physiological dysfunction, and even shock; 发生机制Mechanism; 致痛物质 Substance which Induce pain;痛觉传导途径 Pain pathway;1、发病情况 incidence 2、部位 region 3、的程度与性质 quality and severity 4、出现的时间和持续的时间 temporal characteristics 5、加重、减轻或激发头痛的因素 Provocative -- palliative factors;头 痛（headache） 胸 痛（chest pain） 腹 痛（abdominal pain） ;头 痛 Headache;头痛发生机制;Mechanism of headache;头痛的病因Causes of headache;颅内病变 Intracranial lesions;Intracranial lesions;颅外病变;Extracranial lesions;临床表现 manifestation;Incidence;头痛的伴随症状 Accompanying symptoms;1. With severe vomiting Intracranial hypertension 2. With vertigo Tumor of the cerebellum and Vertebral basilar artery insufficiency 3. With fever systemic infection or intracranial infection 4. Chronic progressive headache with mental symptoms Intracranial tumor 5. Chronic headache suddenly intensified with conscious disturbance Cerebral hernia ;头痛的伴随症状;6. with visual impairment glaucoma or brain tumor 7. with meningismus meningitis, subarachnoid hemorrhage 8. with seizures cerebral vascular malformations, brain parasitic disease or tumor 9. with a series of intense attacks and remission of months or years cluster headache 10. with heavy press or tight hoop sense muscle contraction headache 11. with nervous function disorder nervous function headache;胸 痛 Chest pain;发病机制;Mechanism: various stimulating factors such as hypoxia, inflammation, muscle tension changes, tumor infiltration, tissue necrosis and physical and chemical factors can produce a sense of pain Sensory nerve fibers: intercostal nerve, the sympathetic nerve that control aortic, trachea and the vagus nerve that control the trachea and bronchus and phrenic nerve;胸痛的病因 Causes of chest pain;1, chest wall disease: the pain is clear with local tenderness 2, heart and big blood vessel disease 3, respiratory system diseases 4, medi