小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 窒息危象
- 单侧呼吸音减低
- 单侧哮鸣音
其他诊断因素
- 顽固性咳嗽
- 发热
- 呼吸困难
- 双侧喘鸣音
危险因素
- 意识水平下降(Glasgow 昏迷评分<9)
- 年龄小于4岁
- 年龄>70 岁
- 延髓功能障碍
- 男性
- 脑血管病
- 痴呆
诊断性检查
首要检查
- 胸部 X 线检查
需考虑的检查
- 胸部 CT
- 支气管镜检查
治疗流程
有意识
无意识
撰稿人
作者
Arjun B. Chatterjee, MD, MS, FACP, FCCP, FAASM
Professor of Medicine
Section on Pulmonary, Critical Care, Allergy, and Immunologic Disease
Wake Forest University School of Medicine
Winston-Salem
NC
利益声明
ABC declares that he has no competing interests.
鸣谢
Dr Arjun B. Chatterjee would like to gratefully acknowledge Dr Septimiu Murgu and Dr Henri Colt, the previous contributors to this topic. SM and HC declare that they have no competing interests.
同行评议者
Amber Young, BSc, MB ChB, FRCA
Consultant Paediatric Anaesthetist
Department of Anaesthesia
Frenchay Hospital
Bristol
UK
利益声明
AY declares that she has no competing interests.
Momen M. Wahidi, MD, MBA
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.
Pyng Lee, MD
Senior Consultant
Department of Respiratory and Critical Care Medicine
Singapore General Hospital
Singapore
利益声明
PL declares that he has no competing interests.
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