(2015.5.20)教授教化查房(国外英文资料).doc

(2015.5.20)教学查房 Expectoration: the cough is usually followed by a small amount of mucous phlegm, with some patients more in the morning. The amount of phlegm in the infection is increased. (3) shortness of breath or difficulty breathing: this is the hallmark symptoms of COPD, is the main reason, to anxiety in patients with early appear only at the labor time, after aggravating gradually, so that the daily activities even when resting feeling shortness of breath. Wheezing and chest boredom: not the specific symptoms of COPD. Some patients, especially those with severe severe cases, have respite; Chest tightness usually occurs after labor, and is associated with the difficulty of breathing, the intercostal muscles, and other capacitive contractions. 5] systemic symptoms: in the process of clinical disease, especially in patients with heavier, systemic symptoms may occur, such as weight loss, loss of appetite, peripheral muscle atrophy and dysfunction, depression and anxiety, and (or). When combined infection, can cough blood to spit or haemoptysis. The process of COPD should be characterized by the following characteristics: the history of smoking: there is a long history of smoking. A history of occupational or environmental exposures: long-term dust, smoke, harmful particles, or exposure to harmful gases. Family history: COPD has a family tendency. The onset of onset of the disease and the season of good hair: more than middle age, the symptom is good in autumn and winter cold season, often repeated respiratory infection and acute aggravated history. As the disease progresses, the acute increase becomes more frequent. The history of chronic pulmonary heart disease: hypoxemia and hypercapnia in the later stages of COPD, which can be associated with chronic pulmonary heart disease and right heart failure. The diagnosis of COPD should be determined based on clinical presentation, exposure history of risk factors, physical characteristics and laboratory examination. Th