急慢性咽炎PPT课件

咽 炎Pharyngitis,定义： 咽粘膜粘膜下组织和淋巴组织的炎症，常为上呼吸道感染的一部分，包括急慢性咽炎。,Definition: The inflammation of mucosa , submucosa and lymphatic tissue , which is the part of respiratory tract infection, including acute / chronic pharyngitis.,1,急性咽炎Acute pharyngitis,定义： 咽粘膜粘膜下组织淋巴组织的急性炎症，常为上呼吸道感染的一部分，多由急性鼻炎向下蔓延所致，常见于冬春及秋冬之交。,Definition: The inflammation of mucosa , submucosa and lymphatic tissue , which is the part of respiratory tract infection, resulting from acute rhinitis,2,病 因Etiology,1.病毒感染柯萨奇病毒, 腺病毒副流感病毒, 流感病毒, 鼻病毒2.细菌感染链球菌, A组乙型葡萄球菌肺炎双球菌3.理化因素高温粉尘烟雾4.诱发因素全身或局部抵抗力下降环境条件差,Virus infectionCoxsackie virus/adenovirusBacterial infectionStreptococcusStaphylococcusPneumonia diplococcusAgentHyperthermiaDust/smogEvoking factorThe poor environmental conditionThe resistance of total body/local is descent,3,临床表现Clinical situation,症状：起病急，咽干咽痛吞咽疼痛全身症状：较轻，头痛食欲下降干咳体症：咽部粘膜急性充血悬雍垂水肿淋巴滤泡和侧索红肿下颌下淋巴结肿大压痛,SymptomPharyngeal pain/drynessSwallowing painTotal body symptom: headache/anorexia/coughSignAcute congestion of pharyngeal mucosaStaphyle edemaThe red swelling of lymphatic follicle and cordSwelling and pain of submandibular lymph nodes,4,诊 断Diagnosis,诊断病史+体症+症状+咽培养鉴别诊断猩红热百日咳流感麻疹,DiagnosisHistorySignSymptomPharyngeal cultureDifferentia diagnosisScarlatinaWhooping coughInfluenzameasles,5,治 疗Treatment,抗病毒治疗：吗啉双胍病毒唑板蓝根银黄冲剂抗细菌治疗：磺胺头孢拉啶罗红霉素局部用药：Dobells液西瓜霜润喉片银黄含片中医中药：银翘散加减,Anti-virus:Moroxydine, virazole,Isatis Tiactoria Antibacterial treatment:SMZ, RoxithromycinLocal drug:Dobells solutionTraditional Chinese medicine fludeton,6,慢性咽炎Chronic pharyngitis,定义：咽部粘膜粘膜下及淋巴组织的弥漫性炎症，为上呼吸道慢性炎症的一部分，是临床上的常见病和多发病。,Definition : The diffuse inflammation of mucosa, submucosa and lymphatic tissue , which is the part of respiratory tract chronic infection and the clinical common disease , multi-disease.,7,病 因Etiology,急性咽炎反复发作局部刺激因素：长期经口呼吸烟酒粉尘有害气体刺激鼻炎鼻窦炎引起涕倒流至咽部全身因素：贫血心血管病等慢性病继发引起本病,Acute pharyngitis attacked over and overLocal stimulation factorMouth breathing for the long-termsmoking/drinking/dust/harmful gasesRhinitis/sinusitisFactor of total body:anemiacardio-disease,8,病理分型pathological typing,慢性单纯性咽炎以粘膜慢性充血为主，轻度增生。慢性肥厚性咽炎以粘膜下结缔组织及淋巴组织增生为主，咽喉壁淋巴滤泡咽侧索呈条索状增厚。,Chronic simple pharyngitis chronic congestion of mucosa is main, having a little hyperplasia.Chronic hypertrophic pharyngitis hyperplasia of connective tissues under mucosa and lymphatic tissues, such as lymphatic follicle and pharyngeal lateral cord.,9,临床表现Clinical situation,多样性症状：异物感干燥发痒微痛恶心感刺激性干咳全身症状：不明显体症：咽反射敏感粘膜慢性充血，小血管扩张，暗红色，有分泌物粘膜肥厚，弥漫充血，淋巴滤泡增生，侧索肥厚分泌亢进，痰多,The diversity of symptomForeign body sensation, dryness, itchy, nausea, dry coughTotal body symptomUnclearSignsPharyngeal reflex sensitiveChronic congestion of mucosa, expansion of small vessels/scoto-red/having dischargeThickness of mucosa/ Width spread congestionHyperplasia of lymphatic follicle/thickness of pharyngeal lateral cord.High excretion, more sputum,10,诊 断Diagnosis,Attention inquiring historyCareful examinationMaking typing,注意询问病史仔细全面检查，特别是鼻咽部喉部，排除恶性肿瘤做好分型,11,治 疗Treatment,Etiological treatmentClearing off etiological factor, such as smoking /drinking /dust/harmful gases, rhinitis/sinusitisReinforcement healthLocal treatmentChronic simple pharyngitis:Dobells soluti