急慢性咽炎課件

咽炎

Pharyngitis定義：

咽粘膜﹑粘膜下組織和淋巴組織的炎癥，常為上呼吸道感染的一部分，包括急﹑慢性咽炎。Definition:

Theinflammationofmucosa,submucosaandlymphatictissue,whichisthepartofrespiratorytractinfection,includingacute/chronicpharyngitis.急性咽炎

Acutepharyngitis定義：咽粘膜﹑粘膜下組織﹑淋巴組織的急性炎癥，常為上呼吸道感染的一部分，多由急性鼻炎向下蔓延所致，常見于冬春及秋冬之交。Definition:

Theinflammationofmucosa,submucosaandlymphatictissue,whichisthepartofrespiratorytractinfection,resultingfromacuterhinitis解放軍第89醫(yī)院唐少松病因

Etiology1.病毒感染柯薩奇病毒,腺病毒副流感病毒,流感病毒,鼻病毒2.細(xì)菌感染鏈球菌,A組乙型葡萄球菌肺炎雙球菌3.理化因素高溫粉塵煙霧4.誘發(fā)因素全身或局部抵抗力下降環(huán)境條件差VirusinfectionCoxsackievirus/adenovirusBacterialinfectionStreptococcusStaphylococcusPneumoniadiplococcusAgentHyperthermiaDust/smogEvokingfactorThepoorenvironmentalconditionTheresistanceoftotalbody/localisdescent解放軍第89醫(yī)院唐少松診斷

Diagnosis診斷病史+體癥+癥狀+咽培養(yǎng)鑒別診斷猩紅熱百日咳流感麻疹DiagnosisHistorySignSymptomPharyngealcultureDifferentiadiagnosisScarlatinaWhoopingcoughInfluenzameasles解放軍第89醫(yī)院唐少松治療

Treatment抗病毒治療：?jiǎn)徇p胍﹑病毒唑﹑板藍(lán)根﹑銀黃沖劑抗細(xì)菌治療：磺胺﹑頭孢拉啶﹑羅紅霉素局部用藥：Dobell’s液﹑西瓜霜潤(rùn)喉片﹑銀黃含片中醫(yī)中藥：銀翹散加減Anti-virus:Moroxydine,virazole,Isatis

Tiactoria

Antibacterialtreatment:SMZ,RoxithromycinLocaldrug:Dobell’ssolutionTraditionalChinesemedicine

fludeton解放軍第89醫(yī)院唐少松慢性咽炎

Chronicpharyngitis定義：咽部粘膜﹑粘膜下及淋巴組織的彌漫性炎癥，為上呼吸道慢性炎癥的一部分，是臨床上的常見病和多發(fā)病。Definition:

Thediffuseinflammationofmucosa,submucosaandlymphatictissue,whichisthepartofrespiratorytractchronicinfectionandtheclinicalcommondisease,multi-disease.解放軍第89醫(yī)院唐少松病理分型

pathologicaltyping慢性單純性咽炎以粘膜慢性充血為主，輕度增生。慢性肥厚性咽炎以粘膜下結(jié)締組織及淋巴組織增生為主，咽喉壁淋巴濾泡﹑咽側(cè)索呈條索狀增厚。Chronicsimplepharyngitischroniccongestionofmucosaismain,havingalittlehyperplasia.Chronichypertrophicpharyngitishyperplasiaofconnectivetissuesundermucosaandlymphatictissues,suchaslymphaticfollicleandpharyngeallateralcord.解放軍第89醫(yī)院唐少松臨床表現(xiàn)

Clinicalsituation多樣性癥狀：異物感﹑干燥﹑發(fā)癢﹑微痛﹑惡心感﹑刺激性干咳全身癥狀：不明顯體癥：咽反射敏感粘膜慢性充血，小血管擴(kuò)張，暗紅色，有分泌物粘膜肥厚，彌漫充血，淋巴濾泡增生，側(cè)索肥厚分泌亢進(jìn)，痰多ThediversityofsymptomForeignbodysensation,dryness,itchy,nausea,drycoughTotalbodysymptomUnclearSignsPharyngealreflexsensitiveChroniccongestionofmucosa,expansionofsmallvessels/scoto-red/havingdischargeThicknessofmucosa/WidthspreadcongestionHyperplasiaoflymphaticfollicle/thicknessofpharyngeallateralcord.Highexcretion,moresputum解放軍第89醫(yī)院唐