猫呼吸系统疾病诊断.ppt

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1、呼吸系统疾病的呼吸方式呼吸系统疾病的诊断ReflexesCoughProductivevs.NonproductiveSneezeBronchoconstriction咳嗽是一种保护机制，不会发生在下呼吸道和肺部感染定义呼吸困难-困难或呼吸困难端坐-呼吸困难，在一坐/站立呼吸急促（polypnea）-快速呼吸的高通气-增加呼吸的速度和深度呼吸困难和端坐咯血紫绀=蓝变色的毛细血管由于减少血液中血红蛋白的粘膜。“Kevie”Souders6月龄，男，小型犬提出投诉：嗜睡和软弱病史History(Hx)Si

2、gnalment(Age,Breed,Sex)PrimaryComplaintPastPertinentMedicalHxCurrentMedicalHx体格检查从历史和体检：上气道疾病，应下气道疾病的区别HistoricalSignsAssociatedwithSpecificAnatomicInvolvementoftheRespiratorySystemNasalCavityNasaldischarge,sneezing,snorting,nasalrubbing,epistaxisPharynxH

3、ypersalivation,gagging,retching,dysphagia,inspiratorynoiseLarynxInspiratorynoiseanddyspnea,gagging,stridor,occ.coughTracheaUpperthird:inspiratorydyspnea,coughLowertwo-thirds:coughBronchiCough,dyspnea(esp.expiratory),pantingincatsAlveoliCough,tachypnea,dys

4、pnea(esp.expiratory)PleuraleffusionTachypnea(oftenrapid,shallow)UpperAirwayDiseaseSneeze(reversesneeze)NasalDischargeFacialSwellingStertorousBreathing(snoring)VoiceChangeLoudupperrespiratorysoundsInspiratoryDyspneaCoughLowerRespiratoryDiseaseCoughExpirato

5、ryorInspiratoryDysneaHyperpneaAbnormalLungSoundsRapidShallowRespiration呼吸系统的体检永远不会忘记甲状腺检查的下呼吸道评分：努力：深度：噪声：第一期呼吸窘迫查理鲁宾斯坦气喘吁吁通常意味着严重的猫呼吸道疾病触诊胸部打击听诊肺音呼吸声音（肺泡音）不定声音裂纹（罗音）喘鸣（啰音）异常呼吸音（大声空气量增加空气速度增加综合龙（仍允许气流）肺部肿块（仍允许气流)异常呼吸音（软）恶性通货膨胀肺气肿增加胸膜腔 气胸 胸

6、腔积液 膈疝CracklesThetimingduringrespiratorycycleshouldbenoted.Mostareheardattheendofinspiration.LateInspiratoryEarlyInspiratory/EarlyExpiratoryPulmonaryEdemaObstructiveDiseasesInterstitialPneumoniaFelineAsthmaPulmonaryInfiltratesBronchopneumoniaPulmonaryF

7、ibrosisTracheobronchialFluidAccumulationMycoticPneumoniaPossiblecausesofcracklesheardatdifferenttimesintherespiratorycycle喘鸣通常是由于阻塞性疾病和呼气时听到的