2022年医学专题—急性腹胸痛[4].pptVIP免费

EmergencyMedicineandTechniqueDr.FengQi-ming(MD,PhD封启明(qǐmíng))TheEmergencyDepartment,the6thpeoples’hospitalofShanghai,ShanghaijiaotongUniversity第一页，共四十五页。EmergencyMedicineandTechniqueDifferentialdiagnosis症状(zhèngzhuàng)鉴别诊断①Chestpain胸痛②第二页，共四十五页。Theintroductionofemergencymedicine急诊医学简介Non-trauma非创伤性急诊（内科、外科、儿科）trauma创伤Disastermedicine灾难医学第三页，共四十五页。1.Richinelementaryknowledgeofmedicine(丰富的医学基础知识)2.Havingrichclinicalexperience(丰富的临床经验)3.Mastertheprincipalsofdecision-makinginemergencymedicine(正确的急诊临床(línchuánɡ)思维)第四页，共四十五页。4.Skilledtechniquesforemergency(娴熟的急救技术(jìshù))Trachealintubation气管插管,Venipuncture深静脉穿刺，Cardiopulmonaryresuscitation心肺复苏5.Emergencyphysiciandiathesis(良好的心理素质)6.Theabilitytodealtwithaccidentappropriately(镇静处理突发事件)第五页，共四十五页。AcuteChestPain急性(jíxìng)胸痛第六页，共四十五页。第七页，共四十五页。Cardiogenicpain:AcuteCoronarySyndrome（UAP、AMI)高危心源性疼痛：急性冠脉综合征Non-cardiogenicpain:aorticdissection,pulmonaryembolismandtensionpneumothorax高危非心源性疼痛：主动脉夹层、肺栓塞、张力性气胸第八页，共四十五页。Medicalhistory,physicalexamination,laboratoryexaminationandspecialexaminationandtests(EKG、ChestX-ray、enzymology)第九页，共四十五页。Locationofpain疼痛的部位，retrosternal,substernal第十页，共四十五页。第十一页，共四十五页。Thepainofesophagealdisease,mediastinalherniaandmediastinaltumerisalsoaretrosternal.食管疾患、隔疝、纵隔(zònggé)肿瘤的疼痛也位于胸骨后。spontaneouspneumothorax,acutepleuritisandpulmonaryembolismet.aloftenunilateralandpleuritic.自发性气胸、急性胸膜炎、肺栓塞等常呈患侧的剧烈胸痛。第十二页，共四十五页。第十三页，共四十五页。AnginaPectorisormyocardialinfarctionisusuallydescribedasaheaviness,pressure,orsqueezing心绞痛或心肌梗死(xīnjīɡěnɡsǐ)常呈压榨样痛并常伴有压迫感或窒息感。第十四页，共四十五页。AnginaPectorisisoftenindusedbyte...