5,呼吸困难.ppt

It’s Just a Little Hard to Breathe --Favorites from Recent Literature;Goals;感谢您邀请我们;患者女性，44岁，因气促入院 脉搏 111 次/分 血压 121/68 mmHg 体温 97.2°F 血氧 100%（未吸氧） 呼吸频率 30 次/分;从门口查看;初步评估;初步评估;初步评估;初步评估;近期活动;用 药;过 敏;既往史;社交史;家族史;体格检查：肺部;体格检查：心胸部;体格检查：四肢;The Rapid Differential;PE – 1: The NEJM Approach.;无低血压或休克的可疑肺栓塞患者的诊断流程图;无低血压或休克的可疑肺栓塞患者的诊断;肺栓塞患者早期抗凝药物的使用;溶栓剂的使用及禁忌;肺栓塞死亡危险度分层及相关治疗;PE – 2: The History and Physical.;PE – 2: The History and Physical.;PE – 2: The History and Physical.;PE – 2: The History and Physical.;The evidence based exam.;PE-3: Ruling Out PE.;PE-3: Ruling Out PE.;Where risk = benefit.;PE-3: Ruling Out PE.;PE-3b: Ruling Out PE.;PE-4: How about the ECG in PE?;PE-4: How about the ECG in PE?;PE-4: How about the ECG in PE?;CHF – 1: The NEJM Approach.;收缩性心力衰竭的病理生理;收缩性心力衰竭的处理流程;结论与建议;CHF – 2: Heart Failure, Fluid Overload,  and Hypertension.;CHF – 2: Heart Failure, Fluid Overload,  and Hypertension.;CHF – 2: Heart Failure, Fluid Overload,  and Hypertension.;CHF - 3: Noninvasive Ventilation.;CHF - 3: Noninvasive Ventilation.;患者的基本特征;患者的治疗方法;Kaplan-Meier生存曲线;接受CPAP及NIPPV患者的原发及继发转归;CHF - 3: Noninvasive Ventilation.;McDermid R et al. N Engl J Med 2008;359:2068-2069;CHF – 4: What about diuretics?;CHF – 4: What about diuretics?;CHF – 4: What about diuretics?;实验室检查: 全血细胞计数;实验室检查: Chem-7;心电图;实验室检查: 血气分析;Pneumonia – 1: CT beats CXR.;Pneumonia – 1: CT beats CXR.;Pneumonia – 1: CT beats CXR.;肺栓塞的CT检查;Pneumonia – 2: Quality Measures.;Pneumonia – 2: Quality Measures.;Pneumonia – 3: Antibiotic Timing.;Pneumonia – 3: Antibiotic Timing.;Pneumonia – 4: A Warning.;Pneumonia – 4: A Warning.;Current ED pneumonia “core” measures;就医经过;COPD 1 – Sputum Color doesn’t matter.;COPD 1 – Sputum Color doesn’t matter.;COPD – 2: Smoking in China.;以前及目前吸烟者与不吸烟者相对死亡风险的比较;中国2005年吸烟所致的死亡人数;中国吸烟所致的相对危险度，人群归因风险度以及死亡人数;谢 谢！