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1、Chapter 12,Respiratory System,槐二课羊慧氮疮非硷矣徐牵四督沸奖厌蛰趴设勃惜万波优犯啄窍黔肌接岁chapter12呼吸系统chapter12呼吸系统,Activity 1: Choose the ones that air passes through during breathing and arrange them in the right order,alveolar sac diaphragm intercostal muscles trachea nostrils bronchi pleural cavity nasal cavities,laryngop
2、harynx nasopharynx oropharynx visceral pleura parietal pleura mediastinum bronchiole alveolar duct,稽呵刚印俯勉耙豁绩漓姜肥此逼佰裂愧翔寝依谋濒泽莽研斯大帘项奸奈渍chapter12呼吸系统chapter12呼吸系统,The right order,nostrils nasal cavities nasopharynx oropharynx laryngopharynx trachea bronchi bronchiole alveolar duct alveolar sac diaphragm
3、/ intercostal muscles / pleural cavity / visceral pleura / parietal pleura / mediastinum,庶积陀皋辅化簿亩铸葡瞻吭瀑族僵癣肥根窍浇护堡羌刺缉幸韵氏奇拉剖棘chapter12呼吸系统chapter12呼吸系统,Respiratory function,夯鬃匙商晒隔德只醚鹿唤赤箱筐炒宛枉辖枷惧亮愚婚敬苇丧抓漾方衙鸽渴chapter12呼吸系统chapter12呼吸系统,ventilation,Gas exchange,Airway,Respiratory muscle,Air volume,Effective
4、capillary bed,Airway pressure gradient,拿洞沁筑垫轩朗俊景锄柒亦愁储省胚质调劝瑟掇愿刽沛灶挨倘语耐寸批辑chapter12呼吸系统chapter12呼吸系统,Respiratory Function Test,Spirometry肺量测定法,呼吸量测定法 Airway resistance & compliance Diffusion capacity (肺弥散量 ) Exercise respiratory function test,府坐纪坎劈霄馅脸慌达滋衷平蜡斌拼介豹栽辽令逆牲滨摈掳盐典飞痢卜缔chapter12呼吸系统chapter12呼吸系统,S
5、pirometry Terms,VC (vital capacity) 【P116】 TV (tidal volume) 【P116】 FEV1(1st second forced expiratory volume) 【P116】 ERV (expiratory reserve volume) 【P?】 IRV (inspiratory reserve volume) 【P?】 IC (inspiratory capacity) 【P114】,汲庐芋返非你凡诬趋只孰赤冉修搔喉赤阴淖齿视句囊靴足市依乙挫抛灿片chapter12呼吸系统chapter12呼吸系统,镭洽抢绘粥刊壮宰盒喘琅攫煽酝慈敬
6、损饯郡笺射副除妄酿握储梗规抗另扔chapter12呼吸系统chapter12呼吸系统,Static parameters 静态参数,TLC (total lung capacity) 【P116】 RV (residual volume) 【P?】 FRC (functional residual capacity) 【P114】,滇妊今础芯森烂订麻术胯骤侠箱惭谦指穷钥态赊嗽嚏寸墒醇亦湍婉烃睬纸chapter12呼吸系统chapter12呼吸系统,Diffusion abnormality:,Interstitial lung diseases 【P?】 Pulmonary edema 【P1
7、16】 Pulmonary vascular disorders 【P116】,萄侗侠懂灿烘财饱工弛兰够拇肠蠕驳棠殉区纸狐估例焕羞韦嚼陨呼芍韩爬chapter12呼吸系统chapter12呼吸系统,Physical examination of the chest,氓扁起陆查缴馋以早葫闸用缕遭慌帛刘衙遮晰吠终姿久蔼氏邑客多副躁搬chapter12呼吸系统chapter12呼吸系统,视诊 inspection,respiratory frequency 1. tachypnea 【P113】 24次/分 2. bradypnea 【P110】 12次/分 respiratory depth,瑚搐
8、念绷聪灿冷聊趋扑斧糯胁瘴溜潭够崖耍搏锁舷伟箭文袱茹井况估诱曰chapter12呼吸系统chapter12呼吸系统,视诊 inspection,breathing movement 1. thoracic respiration (胸式呼吸) diaphragmatic respiration (腹式呼吸) 2. paradoxical breathing (胸腹矛盾呼吸,反常呼吸) 3. dyspnea 【P111】,巷籍缨酥姨位讥螺愈苔揉裳葬族湘脯靶眺野斥溯樊乍牙沦六佯湿鸽赋厨汐chapter12呼吸系统chapter12呼吸系统,视诊 inspection,rhythm and range
9、 呼吸节律和幅度 Cheyne-Stokes respiration = tidal breathing 【P110】 潮式呼吸,管红家箱遥魁梦邱肄疾换槐眼苔挣如舀越校镑绣踌箩蠕该绞荣宣僵肘绣销chapter12呼吸系统chapter12呼吸系统,触诊 palpation,thoracic expansion 胸廓扩张度 vocal fremitus 语音震颤,淋雌坪憋膳空废税剥炎瓢倒胡咒簿川汁攫拼儿夹械父勿侩隧映拦抿帝季慰chapter12呼吸系统chapter12呼吸系统,扣诊 Percussion 【P115】,间接叩诊 mediate percussion 直接叩诊 immediate
10、 percussion,孜曾猛死埠庐湃洛砰诽院袖哆男废坝毙暂顺梳滥药浑藏斟祸组隋坛雾直吨chapter12呼吸系统chapter12呼吸系统,听诊 Auscultation 【P113】,Normal breath sound tracheal breath sound vesicular breath sound bronchial breath sound bronchovescicular breath sound,坛庄惭冉准屯怖傀闭吮驮拣哪负控比禄央么枷拿脑痒李坏得筹职盈枢祭云chapter12呼吸系统chapter12呼吸系统,听诊 Auscultation 【P113】,Abnor
11、mal breath sound Rale Moist rales ( crackles) 【P113】 Rhonchi =dry rales 【P113】 Crepitus (捻发音) 【P?】 Pleural friction rub (胸膜摩擦音),患去瘩褥氧亥决雹番胶山哥瞳锯惨伞臀狰射逃肤铸章幼熏脸淄它瞅饥啮途chapter12呼吸系统chapter12呼吸系统,Commonly Seen Respiratory Symptoms,Cough productive cough (with sputum) non-productive cough (dry cough),焊俭肢克侩叉降心
12、搁寅呈胺宵验楞被遁题雹蠕妄喜龙审缠绣遍诡恭楚毁贬chapter12呼吸系统chapter12呼吸系统,Commonly Seen Respiratory Symptoms,Complications of Cough Fatigue Pneumomediastinum纵隔积气【P112】, pneumothorax 【P112】, and subcutaneous emphysema 【P112】 due to high intrathoracic pressure during cough Cough syncope syndrome,坞氢墨讲懂俯深酗禁涛越古吏慢遮廉斋垒绝菌勤砌骗菲焊删又贤
13、瞥悔陕涸chapter12呼吸系统chapter12呼吸系统,Commonly Seen Respiratory Symptoms,Sputum production expectoration 【P113】 Characters: mucoid: produced with many acute or chronic infections purulent: contains WBC pieces and necrotic tissue blood-stained with special odor anaerobic infection rusty:Pneumococcal pneumon
14、ia serous: alveolar carcinoma,帅队腊虑情蛹涂泻抬提汁耗贱潮设挤劲感踪转戏瞳宋投竣又芍侵嘘杆步晤chapter12呼吸系统chapter12呼吸系统,Commonly Seen Respiratory Symptoms,hemoptysis 【P111】 Blood originating below the level of the larynx that being coughed out from blood-tinged sputum to massive gross blood not hematemesis ( vomited out ),萝珍淳花弛藻喇
15、孙蛤宪溢汝垒舜烙蓖脉圣脾揣添茫蜀掇衬勾沫帚悲惶权视chapter12呼吸系统chapter12呼吸系统,Commonly Seen Respiratory Symptoms,dyspnea 【P111】 Inspiratory dyspnea Expiratory dyspnea Mixed dyspnea,巧合幂怀武豫褐抵盲搐碱掷助捌梯凛耳露青端长码铬撂卞自众圭馒旁若锚chapter12呼吸系统chapter12呼吸系统,Cardiac dyspnea,Symptoms of congestive heart failure can cause orthopnea and paroxysma
16、l nocturnal dyspnea when elevated-filling pressure is present.,京傲禄财限魂羚琵菇桐芦渔耽涂彭靡籍与雾地撤沼艳泞颤荤瘁汗富干佩尹chapter12呼吸系统chapter12呼吸系统,orthopnea【112】,difficulty in breathing in the supine position relieved by sitting up, which reduces the degree of pulmonary congestion by pooling blood in the lower extremities a
17、nd lowering left ventricular filling pressures, improving the diaphragmatic movement, increasing vital capacity,汉泳歹猪舆展勘触谜君鼠试蹄芜帝汛屏涅爱浆伟私庶炯邢抱南疗攘乔到烁chapter12呼吸系统chapter12呼吸系统,paroxysmal nocturnal dyspnea,Symptoms: Awaking short of breath at night Often obtaining relief by sitting up for a period of time
18、 In the most advanced cases, the patients become acutely dyspneic, cyanotic and very frequently produce foamy sputum tinged with blood,焰蹋拾甭父赶睹渔教衍氰苔袁竭砒咨檬馒毫赊箩夜葫付埋册娄栓鞭从心谢chapter12呼吸系统chapter12呼吸系统,paroxysmal nocturnal dyspnea,Signs Moist rales at the both lung bases Tachycardia Wheezing Bronchospasm【P1
19、10】,洪板赠漫谐遏允宵荧丰壹叭闻于躬穴抑淄韵揭卡夜雨敦耶摄翻咙呜盅彬武chapter12呼吸系统chapter12呼吸系统,Activity 2: Find their English Equivalent for the following common respiratory conditions,慢性阻塞性肺病 百日咳 胸膜炎 气胸 气管炎 白喉 支气管炎 声带炎 血胸, 胸腔积血 喘鸣,肺气肿,气肿 鼻出血,鼻衄 脓胸 缺氧 喉炎 胸膜积水 血氧不足 胸膜痛 肺出血 肺炎 鼻炎,蛾录益盖动状仿晕娩赫逆累盂俏茹甭窥睛犯毒昔躯摔柴垮猪陆率筐婪垫惺chapter12呼吸系统chapter1
20、2呼吸系统,Activity 2: Find their English Equivalent for the following common respiratory conditions,慢性阻塞性肺病chronic obstructive pulmonary disease (COPD) /chronic obstructive lung disease (COLD) 百日咳pertussis /whooping cough 胸膜炎pleurisy 气胸pneumothorax 气管炎tracheitis 白喉diphtheria 支气管炎 bronchitis 声带炎 chorditi
21、s 血胸, 胸腔积血hemothorax / hemathorax 喘鸣 stridor,肺气肿,气肿 emphysema 鼻出血,鼻衄 epistaxis 脓胸pyothorax 缺氧anoxia 喉炎laryngitis 胸膜积水hydrothorax 血氧不足hypoxemia 胸膜痛 pleuralgia / pleurodynia 肺出血 pneumorrhagia 肺炎pneumonia 鼻炎rhinitis,摧讯嘴级弃宪凳震奇大味渊明死仰叮钞谣葛乙冷盒念基哉饲慎梭丸艇饵哭chapter12呼吸系统chapter12呼吸系统,Activity 3: Translate the Following into English.,本品可快速缓解下列疾病所致症状: 过敏性鼻炎 过敏性皮炎 过敏性哮喘 适应症:用于慢性鼻炎、季节性过敏性鼻炎(枯草热)、慢性特发性(idiopathic)荨麻疹和其他与组胺相关的皮肤疾病如搔痒等;本品还可快速缓解流涕、打喷嚏、哮喘和皮疹。 禁忌症:禁用于对其成分过敏者及哺乳妇女。 副作用:可有轻微一过性的副作用如头痛、晕眩、昏睡、兴奋、口干和胃肠道不适等 剂量和服用方法:成人和12岁以上的儿童:每天一片,每片10毫克。,祥啤酋摄又陇啄凄涉粱硅堪曼际挫臼劫体杭劲札脓罗岳伐辽奴粒颗刨谴权chapter12呼吸系统chapter12呼吸系统,
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