最近审阅: 26 十月 2020
最近更新: 18 九月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 呼吸短促
  • 咳嗽
  • 咯血
  • 喘鸣
  • 喘鸣

其他诊断因素

  • 声嘶
  • 端坐呼吸
  • 吞咽困难
  • 胸痛
  • 焦虑
  • 呼吸急促
  • 心动过速
  • 辅助呼吸肌参与呼吸
  • 紫绀
  • 爆裂音

危险因素

  • 肺癌
  • 原发气道恶性肿瘤
  • 吸烟
  • 人工气道
  • 气管支气管支架
  • 经气管吸氧导管
  • 肺移植
  • 神经识别和神经肌肉异常
  • 复发性多软骨炎
  • 肉芽肿性多血管炎(以前被称为韦格纳肉芽肿)
  • 气管支气管软化
  • 支气管内感染
  • 胸腔外和远隔部位恶性肿瘤

诊断性检查

需考虑的检查

  • 支气管镜检查(可弯曲和/或硬质)
  • 胸部 CT
  • 胸部MRI
  • 流量-容量环(FVL)
  • 肺量测定法
更多 需考虑的检查

治疗流程

撰稿人

Jose Fernando Santacruz

Medical Director

Bronchoscopy & Interventional Pulmonology

Houston Methodist Lung Center

Houston Methodist Hospital

Houston

TX

利益声明

JFS is a consultant for Boston Scientific and is the author of several studies referenced in this topic.

Erik Folch

Associate Director

Interventional Pulmonary

Division of Thoracic Surgery and Interventional Pulmonology

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

利益声明

EF is a consultant for Boston Scientific and is the author of several studies referenced in this topic.

同行评议者展开全部内容

Adjunct Assistant Professor

University of Utah

Director

Pulmonary & Critical Care Research

IHC Urban South Intermountain Utah Valley Pulmonary Clinic

Provo

UT

利益声明

KMS declares that he has no competing interests.

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

利益声明

AP declares that he has no competing interests.

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