精品鼠疫的临床诊治课件_2.ppt

鼠疫的临床诊治 ;概 述;发病机理;发病机理;;病理变化;临床表现;临床表现;临床表现;鼠疫的临床分型;各型鼠疫的特殊症状（腺鼠疫）;我国人间鼠疫临床类型比较;腺鼠疫的发病部位比较;各型鼠疫的特殊症状（原发性肺鼠疫）;各型鼠疫的特殊症状（继发性肺鼠疫）;各型鼠疫的特殊症状（败血型鼠疫）;各型鼠疫的特殊症状（皮肤型）;各型鼠疫的特殊症状（脑膜炎型）;各型鼠疫的特殊症状;包括治愈的无典型鼠疫病程的病例及能走动的腺鼠疫。又称逍遥性鼠疫和小鼠疫 这类病人在流行过程中往往不易被发现 流行过后从其血液中可查出鼠疫菌的抗体 无既往鼠疫菌苗接种史;实验室检查;实验室检查;鼠疫的诊断;诊断标准（流行病学史）;诊断标准（疑似）;诊断标准（确诊病例）;诊断（隐性感染及追溯诊断）;急性淋巴结炎：明显的外伤史或原发感染灶，全身症状较轻，局部肿大的淋巴结疼痛轻微，有活动性，与周围组织粘连较轻或不粘连，常伴有淋巴管炎，腺肿局部穿刺材料可检出化脓菌 丝虫病淋巴结肿：急性期淋巴结炎与淋巴管炎常同时发生 数天后可自行消退，全身症状轻微 晚上血片检查可找到微丝蚴 免热病：由免热病菌感染引起。全身症状轻，腺肿境界明显，可移动。皮色正常，无痛，无被迫体位。预后较好 ;鉴别诊断（肺鼠疫与大叶性肺炎）;鉴别诊断（肺鼠疫与肺炭疽）;鉴别诊断（肺鼠疫与钩体病肺出血型）;鉴别诊断（败血型鼠疫与其他败血症）;鉴别诊断（皮肤型鼠疫与皮肤炭疽）;鼠疫的治疗;治疗（一般治疗）;治疗（局部治疗）;治疗（病原治疗）;治疗（病原治疗）;治疗（病原治疗）;出院标准;出院标准;dMaI7F4C0z)vs!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)vs#pXmUiRfNcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-wt!qYmVjRgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)wt!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnWkShPdMaJ7F4C1z)ws!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)vs!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)vs#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgPdLaI6F3C0y)vs#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-wt!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-wt!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)ws!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)ws!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)vs!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)vs#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-wt!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)wt!pYmUjRgOcL9I6E3B+y(v%r#oXlTiTiQeNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)ws!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)vs!pXmUiRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)vs#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYnVj