最近审阅: 4 十一月 2020
最近更新: 07 十一月 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
  • 顽固性咳嗽
  • 发热
  • 呼吸困难
  • 哮鸣音
  • 爆裂音

危险因素

  • 意识水平下降(格拉斯哥昏迷量表评分小于 9)
  • 病情加重
  • 全身麻醉
  • 年龄>70 岁
  • 男性
  • 头部外伤
  • 脑血管病
  • 气管内插管或气管切开插管
  • 吞咽困难
  • 气道困难
  • 钡餐
  • 胃食管反流病
  • 饲管
  • 仰卧位
  • 胃排空延迟
  • 肥胖
  • 降低食管括约肌张力的药物

诊断性检查

需考虑的检查

  • 胸部 CT
  • 支气管镜检查及支气管肺泡灌洗
  • 全血细胞计数 (FBC)
  • 动脉血气
更多 需考虑的检查

治疗流程

撰稿人

Volunteer Clinical Faculty

Division of Pulmonary Sciences and Critical Care Medicine

University of Colorado Denver

Aurora

CO

利益声明

MM declares that he has no competing interests.

Dr Madison Macht would like to gratefully acknowledge Dr Kamran Mahmood, Dr Scott Shofer, Dr Septimiu Murgu, and Dr Henri Colt, previous contributors to this topic. KM, SS, SM, and HC declare that they have no competing interests.

同行评议者展开全部内容

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident and Emergency Medicine

St Thomas' Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Director

Interventional Pulmonology

Division of Pulmonary, Allergy, and Critical Care Medicine

Assistant Professor of Medicine

Duke University Medical Center

Durham

NC

利益声明

MMW declares that he has no competing interests.

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