肺炎英文版ppt课件
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肺炎PPT课件
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2.小叶性肺炎：又称支气管性肺炎，病原菌
经支气管入侵，引起细支气管、终末细支气管 及肺泡的炎症。 支气管腔内有分泌物，故常可闻及湿罗音。右 下叶常受累，X线显示为沿肺纹理分布的不规则 斑片状阴影，边缘密度浅而模糊。 其病原体有肺炎球菌、葡萄球菌、腺病毒、流 感病毒以及肺炎支原体等。
感染病原菌的变迁 肺炎致病菌的复杂化 抗生素使用不当 细菌耐药菌株的增加 临床表多种因素 nosogenesis
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肺炎分类
一.解剖分类
1.大叶性肺炎：又称肺泡性肺炎，病原菌先在 肺泡引起炎变，经肺泡间孔向其他肺泡扩延， 致使肺段的一部分或整个肺段、肺叶发生炎变。 典型者表现为肺实质炎变，不累及支气管。
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诊断标准：
①发生肺炎前至少住院48小时以上； ②肺炎症状和体征出现于出院后8天内； ③患病前至少48小时，每天在医院停留数小
时的门诊患者或住院患者的探视者； ④因肺部炎症而住院，经治疗一度好转，但以
后再现发热及肺炎症状，体征更明显，白血球 再度升高，胸部X线检查发现新出现的浸润影； ⑤痰培养连续2次分离出相同病原菌。
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常见致病菌： 1、患者年轻、病程短，既往
健康情况良好、无慢性基础疾病和反复住院史， 或未曾应用大量、多种抗菌素治疗者：多为革 兰阳性球菌，如肺炎链球菌、金葡菌等，亦可 见流感杆菌、军团菌、支原体、衣原体等感染。
2、如患者年龄大、病程长、一般情况差、有慢 性基础疾病和反复住院治疗史或曾反复使用多 种抗菌素者以及曾发生院内感染者，以革兰阴 性杆菌感染可能较大，最常见的绿脓杆菌、克 雷白杆菌、肠杆菌及不动杆菌。
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3.间质性肺炎：以肺间质为主的炎症，累
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2.小叶性肺炎：又称支气管性肺炎，病原菌
经支气管入侵，引起细支气管、终末细支气管 及肺泡的炎症。 支气管腔内有分泌物，故常可闻及湿罗音。右 下叶常受累，X线显示为沿肺纹理分布的不规则 斑片状阴影，边缘密度浅而模糊。 其病原体有肺炎球菌、葡萄球菌、腺病毒、流 感病毒以及肺炎支原体等。
感染病原菌的变迁 肺炎致病菌的复杂化 抗生素使用不当 细菌耐药菌株的增加 临床表多种因素 nosogenesis
6
肺炎分类
一.解剖分类
1.大叶性肺炎：又称肺泡性肺炎，病原菌先在 肺泡引起炎变，经肺泡间孔向其他肺泡扩延， 致使肺段的一部分或整个肺段、肺叶发生炎变。 典型者表现为肺实质炎变，不累及支气管。
18
诊断标准：
①发生肺炎前至少住院48小时以上； ②肺炎症状和体征出现于出院后8天内； ③患病前至少48小时，每天在医院停留数小
时的门诊患者或住院患者的探视者； ④因肺部炎症而住院，经治疗一度好转，但以
后再现发热及肺炎症状，体征更明显，白血球 再度升高，胸部X线检查发现新出现的浸润影； ⑤痰培养连续2次分离出相同病原菌。
16
常见致病菌： 1、患者年轻、病程短，既往
健康情况良好、无慢性基础疾病和反复住院史， 或未曾应用大量、多种抗菌素治疗者：多为革 兰阳性球菌，如肺炎链球菌、金葡菌等，亦可 见流感杆菌、军团菌、支原体、衣原体等感染。
2、如患者年龄大、病程长、一般情况差、有慢 性基础疾病和反复住院治疗史或曾反复使用多 种抗菌素者以及曾发生院内感染者，以革兰阴 性杆菌感染可能较大，最常见的绿脓杆菌、克 雷白杆菌、肠杆菌及不动杆菌。
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3.间质性肺炎：以肺间质为主的炎症，累
肺炎英文版 (2)ppt课件
● Pneumonia may also be caused by other factors including physical, chemical, allergen.
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Classification
1. Lobar pneumonia: Involvement of an entire lobe . 2. Lobular pneumonia: Involvement of parts of the
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Therapy
• Antibiotics therapy • Support therapy • rapy of complications
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Antibiotics therapy
For patients who are believed to be allergic to penicillin，one may select the first or second generation cephalosporin or advanced macrolide。
Pneumonia
Team
1
Contents
31
Anatomy
32
Definition
3
Epidemiology
34
Etiology
35
Classification
36
Diagnosis
37
Therapy
2
Anatomy
3
Definition
Pneumonia is an inflammatory condition of the lung. It is often characterized as including inflammation of the parenchyma of the lung and abnormal alveolar filling with fluid.
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Classification
1. Lobar pneumonia: Involvement of an entire lobe . 2. Lobular pneumonia: Involvement of parts of the
19
Therapy
• Antibiotics therapy • Support therapy • rapy of complications
20
Antibiotics therapy
For patients who are believed to be allergic to penicillin，one may select the first or second generation cephalosporin or advanced macrolide。
Pneumonia
Team
1
Contents
31
Anatomy
32
Definition
3
Epidemiology
34
Etiology
35
Classification
36
Diagnosis
37
Therapy
2
Anatomy
3
Definition
Pneumonia is an inflammatory condition of the lung. It is often characterized as including inflammation of the parenchyma of the lung and abnormal alveolar filling with fluid.
肺炎---英文ppt---参考模板(主题-紫色)
PATHOLOGY
Mercury is the closest planet to the Sun, but does its name have anything to do with the liquid metal?
1. Despite being red, Mars is a cold place. The planet is full of iron oxide dust
Jupiter 03 It’s the biggest
planet in the Solar System
ABOUT THE DISEASE
01 01 Mercury
02 Venus
02
04
03 Mars
04 Jupiter 03
CONCEPTS AND TYPOLOGY
Saturn
Saturn is composed of hydrogen and helium
SYMPTOMS OF THE DISEASE
Saturn
Saturn is composed of hydrogen and helium
Mars
Despite being red, Mars is a cold place
Saturn
Saturn is composed of hydrogen and helium
ABOUT THE DISEASE
Saturn 01 Saturn is composed
of hydrogen and heclosest planet to the Sun
ABOUT THE DISEASE
Mercury
Mercury is the closest planet to the Sun
肺炎病例讨论英文版ppt课件
2018/11/22
3
The condition of the patient
3, 20 days ago after catching a cold. Expectoration, white phlegm was easy to cough up, no fever, sweating during the night, no chest tightness, chest pain, palpitations, shortness of breath, the patient himself was taking cough medicine but cannot relieve symptoms.
2018/11/22
2
The condition of the patient
1, Male, 66 yearsቤተ መጻሕፍቲ ባይዱold. 2, Complaints: "cough, expectoration 20 days, with the right chest pain, fever for 3 days".
2018/11/22
10
Differential diagnosis
1, TB
Symptoms: a cough, sputum, bloody sputum, fever, night sweats, fatigue, anorexia and other symptoms. Physical examination: The lungs have dry and wet rales, acid fast bacilli can assist the examination of the sputum, positive PPD test, tuberculosis antibody, chest X-ray or chest CT showed tuberculous cavity, this case remains to be further examined.
重症肺炎PPT课件
.
三、注意观察病情，遵医嘱使用抗生素，注 意观察疗效和不良反应。高热常在抗菌药物 治疗后24小时内消退，或数日内逐渐下降， 如体温3天后不降或降而复升时，应考虑并发 症或其它疾病存在的可能性，如脓胸，心包 炎，关节炎等。
.
四、口腔护理 ，选择合适的漱口溶液，加强 口腔护理，抑制细菌的生长和口腔溃疡的发 生。
1、肺炎链球菌肺炎：首选青霉素G或阿莫西 林（羟氨苄青霉素），青霉素高度耐药或存 在危险因素者首选万古霉素或头孢曲松。 2、葡萄球菌肺炎：MSSA、MSSE首选苯唑 西林（苯唑青霉素）或氯唑西林（氯唑青霉 素），备选第1代，第2代头孢菌素；MRSA、 MRSE首选万古霉素或联合应用利福平。
.
3、流感嗜血杆菌肺炎：首选阿莫西林加克拉 维酸钾或氨苄西林（氨苄青霉素）加舒巴坦， 备选第2或第3代头孢菌素；或新大环内酯类 （罗红霉素、阿奇霉素、克拉霉素）。 4、肠杆菌肺炎：首选头孢曲松。 5、B族链球菌肺炎：首选青霉素G或阿莫西林 或氨苄西林。 6、肺炎支原体或衣原体肺炎：首选大环内酯 类。
重症肺炎
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定义
重症肺炎(severe pneumonia,SP)又称中 毒性肺炎或暴发性肺炎，是由各种病原体 所致肺实质性炎症，造成严重菌血症或毒 血症，进而引起血压下降、休克、神志模 糊、烦躁不安、塘望和昏迷。SP是一种肺 炎合并呼吸衰竭和其它系统受累的表现， 同时也是IC U常见的一种危重症，随着患 病率的逐年增高，SP住院率也随之上升， 由此引起的经济负担也相应增加，因此引 起了人们的关注。 .
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④止咳化痰 可用中药化痰或盐酸氨溴索口服或 静滴（30mg加入30-50ml糖水中静滴） ⑤有喘息者加用平喘药物，如舒喘灵每次 0.1mg/kg,雾化治疗；或口服 ⑥对鼻粘膜肿胀明显者可用0.5%麻黄素滴鼻以 减轻症状 ⑦注意消毒隔离，防止院内感染
三、注意观察病情，遵医嘱使用抗生素，注 意观察疗效和不良反应。高热常在抗菌药物 治疗后24小时内消退，或数日内逐渐下降， 如体温3天后不降或降而复升时，应考虑并发 症或其它疾病存在的可能性，如脓胸，心包 炎，关节炎等。
.
四、口腔护理 ，选择合适的漱口溶液，加强 口腔护理，抑制细菌的生长和口腔溃疡的发 生。
1、肺炎链球菌肺炎：首选青霉素G或阿莫西 林（羟氨苄青霉素），青霉素高度耐药或存 在危险因素者首选万古霉素或头孢曲松。 2、葡萄球菌肺炎：MSSA、MSSE首选苯唑 西林（苯唑青霉素）或氯唑西林（氯唑青霉 素），备选第1代，第2代头孢菌素；MRSA、 MRSE首选万古霉素或联合应用利福平。
.
3、流感嗜血杆菌肺炎：首选阿莫西林加克拉 维酸钾或氨苄西林（氨苄青霉素）加舒巴坦， 备选第2或第3代头孢菌素；或新大环内酯类 （罗红霉素、阿奇霉素、克拉霉素）。 4、肠杆菌肺炎：首选头孢曲松。 5、B族链球菌肺炎：首选青霉素G或阿莫西林 或氨苄西林。 6、肺炎支原体或衣原体肺炎：首选大环内酯 类。
重症肺炎
.
定义
重症肺炎(severe pneumonia,SP)又称中 毒性肺炎或暴发性肺炎，是由各种病原体 所致肺实质性炎症，造成严重菌血症或毒 血症，进而引起血压下降、休克、神志模 糊、烦躁不安、塘望和昏迷。SP是一种肺 炎合并呼吸衰竭和其它系统受累的表现， 同时也是IC U常见的一种危重症，随着患 病率的逐年增高，SP住院率也随之上升， 由此引起的经济负担也相应增加，因此引 起了人们的关注。 .
.
④止咳化痰 可用中药化痰或盐酸氨溴索口服或 静滴（30mg加入30-50ml糖水中静滴） ⑤有喘息者加用平喘药物，如舒喘灵每次 0.1mg/kg,雾化治疗；或口服 ⑥对鼻粘膜肿胀明显者可用0.5%麻黄素滴鼻以 减轻症状 ⑦注意消毒隔离，防止院内感染
新冠肺炎英文介绍ppt课件
Try not to worry too much if you're not truly at risk.
Doctors and nurses----they guard our health
beautiful and kind people
PART 04
some questions
questions
family
some people
healthcare workers
People within china and around the world
3. How does the disease present?
mild
fever cough Shortness of breath
severe
pneumonia Kidney failure
目录/contents
01 02 03
About the Song About the Virus Fight the Virus
PART 01
Warming-up
Words preparation
virus /vaɪrəs/病毒 contagion /kənˈteɪdʒən/传染病 creeping美 /ˈkriːpɪŋ/ 爬行 spread/spred/ 传播 传染 indeed 确实 memory /ˈmeməri/记忆 SARS Remains /rɪˈmeɪnz/ 仍然 fever 发烧 cover 遮；封面 Cough/kɔːf/ 咳嗽 death 死亡 Should 应该做……
1. What’s the problem in Wuhan? 2.Where does it come from? 3.What can we do to avoid getting it? 4.What do you want to say after this class?
肺炎英文版PPT
精品PPT
Thought
Symptoms of bacterial pneumonia is larger, can be light weight, determined by the pathogen and host state. The common symptoms were cough, expectoration, or the original respiratory symptoms increased, and the emergence of purulent sputum or sputum with blood, with or without chest pain.
Pleural effusion, ipsilateral chest percussion dullness, diminished breath sounds.
精品PPT
Differential diagnosis
1, Pulmonary tuberculosis
Many symptoms of systemic poisoning, afternoon fever, night sweats, fatigue, weakness, weight loss, insomnia, heart palpitations and other symptoms.
The convention
Differential diagnosis
2, Lung cancer
Often has a history of smoking. Has a cough, sputum, bloody sputum symptoms. White blood cell count is not high, if found that the cancer cells in sputum can be confirmed.
Thought
Symptoms of bacterial pneumonia is larger, can be light weight, determined by the pathogen and host state. The common symptoms were cough, expectoration, or the original respiratory symptoms increased, and the emergence of purulent sputum or sputum with blood, with or without chest pain.
Pleural effusion, ipsilateral chest percussion dullness, diminished breath sounds.
精品PPT
Differential diagnosis
1, Pulmonary tuberculosis
Many symptoms of systemic poisoning, afternoon fever, night sweats, fatigue, weakness, weight loss, insomnia, heart palpitations and other symptoms.
The convention
Differential diagnosis
2, Lung cancer
Often has a history of smoking. Has a cough, sputum, bloody sputum symptoms. White blood cell count is not high, if found that the cancer cells in sputum can be confirmed.
肺炎英文版.ppt
Interstitial pneumonia
Clinical characteristics :
●Occurs more at pediatric. ●Symptoms: short of breath, cynaosis, cough. ●Inflammation can cause lymphangitis and along
Bronchopneumonia
X-ray:
lung's field lung marking hilar shadow
Bronchopneumonia
CT:
Under the two lung multiple small patchy shadows vascular enlargement
Pneumonia
Team
Contents
31 32
3
34 ห้องสมุดไป่ตู้5 36 37
Anatomy Definition Epidemiology Etiology Classification Diagnosis Therapy
Anatomy
Definition
Pneumonia is an inflammatory condition of the lung. It is often characterized as including inflammation of the parenchyma of the lung and abnormal alveolar filling with fluid.
Epidemiology
● Pneumonia is a common illness in all parts of the world. It is a major cause of death among all age groups .
支气管肺炎PPT课件
发病情况：本病一年四季都可发生，尤以冬春两 季为多。好发于婴幼儿，年龄越小，发病率越高， 病情越重。
预后：若治疗及时得当，一般预后良好；重症或 失治误治，可发生变证，甚至死亡。
分类 (Classification)
按病理分类 按病因分类 按病程分类 按病情分类
按病理分类
支气管肺炎(Bronchopneumonia)
力，纳差便溏，神疲乏力，舌质偏淡，舌苔薄白，脉细无 力。
辨证要点 本证见于肺炎恢复期，多见于体质素弱的
患儿，病程迁延。临证以咳嗽无力，动则汗出为主要证候。
偏肺气虚者面白少华，反复感冒；偏脾气虚者纳差便溏，
神疲乏力。
治法 补肺健脾，益气化痰。
方药 人参五味子汤加减。
（二）变证
1．心阳虚衰 证候 骤然面色苍白，口唇紫绀，呼吸浅
PaCO2 ﹥50mmHg(6.67kPa)即为呼吸衰竭。
2.酸碱平衡失调及电解质紊乱
严重缺氧时,无氧酵解增强,常引起代谢性酸中 毒
二氧化碳排出受阻，可产生呼吸性酸中毒 水潴留，造成低钠血症
3.循环系统
心肌炎 右心负荷增加 心力衰竭 弥散性血管内凝血（DIC）
4.神经系统
确诊支气管肺炎后应进一步了解引起肺炎的可能病原体 和病情轻重
鉴别诊断
支气管炎（Bronchitis) 支气管异物 (Foreign Body Inspiration) 支气管哮喘（Asthma) 肺结核 (Tuberculosis)
【辨证论治】
一、辨证要点
基本病机：邪热闭肺 典型症状：痰、热、咳、喘 辨证：常证、变证。 常证：初期辨寒、热，
WBC正常或降低、L增高-提示病毒感染
四唑氮蓝试验（NBT） 细菌感染>10% 病毒感染<10%
预后：若治疗及时得当，一般预后良好；重症或 失治误治，可发生变证，甚至死亡。
分类 (Classification)
按病理分类 按病因分类 按病程分类 按病情分类
按病理分类
支气管肺炎(Bronchopneumonia)
力，纳差便溏，神疲乏力，舌质偏淡，舌苔薄白，脉细无 力。
辨证要点 本证见于肺炎恢复期，多见于体质素弱的
患儿，病程迁延。临证以咳嗽无力，动则汗出为主要证候。
偏肺气虚者面白少华，反复感冒；偏脾气虚者纳差便溏，
神疲乏力。
治法 补肺健脾，益气化痰。
方药 人参五味子汤加减。
（二）变证
1．心阳虚衰 证候 骤然面色苍白，口唇紫绀，呼吸浅
PaCO2 ﹥50mmHg(6.67kPa)即为呼吸衰竭。
2.酸碱平衡失调及电解质紊乱
严重缺氧时,无氧酵解增强,常引起代谢性酸中 毒
二氧化碳排出受阻，可产生呼吸性酸中毒 水潴留，造成低钠血症
3.循环系统
心肌炎 右心负荷增加 心力衰竭 弥散性血管内凝血（DIC）
4.神经系统
确诊支气管肺炎后应进一步了解引起肺炎的可能病原体 和病情轻重
鉴别诊断
支气管炎（Bronchitis) 支气管异物 (Foreign Body Inspiration) 支气管哮喘（Asthma) 肺结核 (Tuberculosis)
【辨证论治】
一、辨证要点
基本病机：邪热闭肺 典型症状：痰、热、咳、喘 辨证：常证、变证。 常证：初期辨寒、热，
WBC正常或降低、L增高-提示病毒感染
四唑氮蓝试验（NBT） 细菌感染>10% 病毒感染<10%
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Pneumonia Case Discussion
Xu Changqing Address: Hangzhou City, Wenzhou Road No. 16
Email：cute1998@
2020/4/1
1
The condition of the patient
1,Yu Jinyu, male, 64 years old,
2020/4/1
4
The condition of the patient
Physical examination: P 90 / R 19 / BP 119/72mHg T 36.6. Clear consciousness, bed rest, nasal feeding. Skin and sclera without yellow dye, no lips cyanosis, a soft and not swollen superficial lymph node of neck, no jugular vein enlargement, tracheae, no chest deformity, the intercostal space without broadening, double lung breathing symmetry, no change, fremitus without change, bilateral percussion sound, two pulmonary respiration crude and obviously, no rales or rhonchi; heart has no enlargement, heart rate 90, the law is neat; the abdomen is soft, complete abdomen tenderness, no rebound tenderness, below liver lienal costal region without palpable mass, renal area without percussion pain; lower extremities edema, neurological examination: limbs adverse events, activities joint degree is limited, muscle tension increased, strength can not check.
2020/4/1
5
The condition of the patient
2013-11-27 chest CT scan: comparison of the front sheet (2013-10-28) two pulmonary infections with bilateral pleural effusion was improved; hint at the thoracic inlet endotracheal nodular protrusion.
2020/4/1
2
The condition of the patient
3, Examination of pulmonary CT: Double pneumonia lesions, for anti infection, stop cough and phlegm and other treatments. The temperature dropped gradually and the condition improved.
2, 5 months ago, the patient started coughing without a cause, coughing white sputum. More severely: fever with a temperature of 38 ℃. In the local community hospital he was treated for 2 days without any improvement. So he came to our hospital to be admitted with pulmonary infection.
2020/4/1
6
Normal Chest CT Scan
Lung: the right lung left lung two leaf clover.
The pulmonary fissures (oblique fissure, horizontal fissure)
boundary, appeared as low density pancivascular area or
2020/4/1
3
The condition of the patient
4, 1 day ago, the patient's condition worsened. He was admitted to the hospital for further treatment, quasi “Pneumonia, Parkinson's disease," admitted to our department. Has Parkinson's disease history for 5 years.
4, The patient was careless as to inhale food one month beforehand, then the patient began to cough, sputum, and have fever. After being hospitalized, feeding through a nasogastric tube , anti infection, and phlegm treatment. The condition improved. Multiple hospitalizations.
Xu Changqing Address: Hangzhou City, Wenzhou Road No. 16
Email：cute1998@
2020/4/1
1
The condition of the patient
1,Yu Jinyu, male, 64 years old,
2020/4/1
4
The condition of the patient
Physical examination: P 90 / R 19 / BP 119/72mHg T 36.6. Clear consciousness, bed rest, nasal feeding. Skin and sclera without yellow dye, no lips cyanosis, a soft and not swollen superficial lymph node of neck, no jugular vein enlargement, tracheae, no chest deformity, the intercostal space without broadening, double lung breathing symmetry, no change, fremitus without change, bilateral percussion sound, two pulmonary respiration crude and obviously, no rales or rhonchi; heart has no enlargement, heart rate 90, the law is neat; the abdomen is soft, complete abdomen tenderness, no rebound tenderness, below liver lienal costal region without palpable mass, renal area without percussion pain; lower extremities edema, neurological examination: limbs adverse events, activities joint degree is limited, muscle tension increased, strength can not check.
2020/4/1
5
The condition of the patient
2013-11-27 chest CT scan: comparison of the front sheet (2013-10-28) two pulmonary infections with bilateral pleural effusion was improved; hint at the thoracic inlet endotracheal nodular protrusion.
2020/4/1
2
The condition of the patient
3, Examination of pulmonary CT: Double pneumonia lesions, for anti infection, stop cough and phlegm and other treatments. The temperature dropped gradually and the condition improved.
2, 5 months ago, the patient started coughing without a cause, coughing white sputum. More severely: fever with a temperature of 38 ℃. In the local community hospital he was treated for 2 days without any improvement. So he came to our hospital to be admitted with pulmonary infection.
2020/4/1
6
Normal Chest CT Scan
Lung: the right lung left lung two leaf clover.
The pulmonary fissures (oblique fissure, horizontal fissure)
boundary, appeared as low density pancivascular area or
2020/4/1
3
The condition of the patient
4, 1 day ago, the patient's condition worsened. He was admitted to the hospital for further treatment, quasi “Pneumonia, Parkinson's disease," admitted to our department. Has Parkinson's disease history for 5 years.
4, The patient was careless as to inhale food one month beforehand, then the patient began to cough, sputum, and have fever. After being hospitalized, feeding through a nasogastric tube , anti infection, and phlegm treatment. The condition improved. Multiple hospitalizations.