咽喉科疾病喉喑40張課件

脆慢性炎癥性Evaluationonly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL脆慢性炎癥性概述慢性喉炎是指喉部粘膜的慢性非特異性炎癥臨床常見(jiàn)于成人因病變程度的不同,可分為慢性單純性喉炎肥厚性喉炎萎縮性喉炎特點(diǎn):聲嘶反復(fù)難愈Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述概述歷代醫(yī)家的認(rèn)識(shí):病名:起病急驟者:暴喑、卒喑反復(fù)發(fā)作、遷延不愈:久喑《景岳全書(shū).聲喑》:“喑啞之病,當(dāng)知虛實(shí)。實(shí)者,其病在標(biāo),因竅閉而喑也;虛者,其病在本,因內(nèi)奪而喑也?！薄毒霸廊珪?shū).卷28》確定了“金實(shí)不鳴”、“金破不鳴”的理論。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述概述中醫(yī)對(duì)本病的認(rèn)識(shí)中醫(yī)把本病歸屬于“慢喉喑”、“久喑”的范疇YNETaAVaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述二、病因病機(jī)·多由肺、脾、腎臟虛損所致·亦可由病久氣滯血瘀痰凝,或痰熱蘊(yùn)結(jié)致聲門(mén)開(kāi)合不利引起。具體分述如下:Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機(jī)二、病因病機(jī)素體虛弱,肺腎陰虧,陰虛生內(nèi)熱,或勞累太過(guò)肺金清肅虛火上炎或久不行,腎蒸灼喉嚨,病失養(yǎng)陰無(wú)以上聲門(mén)失健而乘成喑。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機(jī)二、病因病機(jī)致氣滯血瘀咽喉病后余痰凝,聲帶邪未清,結(jié)喉嚨脈腫脹,或形聚于喉;或受損成小結(jié)、息過(guò)度發(fā)聲肉,妨礙發(fā)耗傷氣陰音而為喑Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機(jī)二、病因病機(jī)過(guò)度發(fā)音耗傷肺氣,氣虛則無(wú)以少氣成喑或久病失調(diào),鼓動(dòng)聲門(mén)肺脾氣虛Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機(jī)二、病因病機(jī)飲食不節(jié)或邪熱犯肺勞損傷脾,肺失宣肅,聲門(mén)開(kāi)合不脾失健運(yùn),痰熱困結(jié)利而喑聲嘶聚濕成痰,啞久蘊(yùn)化熱Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機(jī)、病因病機(jī)西醫(yī)病因其病因甚為復(fù)雜,未完全明確,多認(rèn)為系持續(xù)性喉部受刺激所致急性喉炎反復(fù)發(fā)作或遷延不愈的結(jié)果用聲過(guò)度,發(fā)聲不當(dāng)吸入有害氣體、吸煙化學(xué)粉塵或煙酒過(guò)度鼻、鼻竇、咽部的感染下呼吸道感染的膿性分泌物與咽長(zhǎng)期接觸6全身疾病,如糖尿病、肝硬化、心臟病、內(nèi)分泌紊亂等波及喉部,并使全身抵抗力下降。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL、病因病機(jī)咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑4