最近审阅: 4 十一月 2020
最近更新: 04 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 咳嗽
  • 呼吸困难

其他诊断因素

  • 发热
  • 胸膜炎性胸痛
  • 呼吸急促
  • 恶臭味呼吸
  • 捻发音
  • 泡沫痰或脓性痰
  • 呕吐病史

危险因素

  • 头颈部癌症的放化疗
  • 意识状态改变
  • 吞咽功能障碍
  • 胃肠道疾病
  • 气管插管或气管切开
  • 老年
  • 口腔卫生不佳
  • 胃管
  • 仰卧位

诊断性检查

首要检查

  • 氧饱和度
  • 胸部 X 线检查 (CXR)
  • 全血细胞计数(FBC)
  • 痰液革兰氏染色
  • 痰培养
更多 首要检查

需考虑的检查

  • 动脉血气分析(ABG)
  • 支气管镜检查
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Adjunct Associate Professor

Division of Pulmonary and Critical Care Medicine

Intermountain Medical Center

University of Utah

Salt Lake City

UT

利益声明

MJL declares that he has no competing interests.

Dr Michael J. Lanspa would like to gratefully acknowledge Dr Richard Kanner and Dr Krishna Sundar, previous contributors to this topic. DK and KS declares that they have no competing interests.

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Consultant Respiratory Physician

Department of Respiratory Medicine

Royal Brompton Hospital

London

UK

利益声明

TM has received research funding from the Wellcome Trust and GlaxoSmithKline. He has acted as a paid consultant to GSK, Actelion, and Respironies.

Chief of Pulmonary and Critical Care

King Hussein Cancer Center

Amman

Jordan

利益声明

FH declares that he has no competing interests.

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