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<table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="84%" class="f9"><a href="../../../default.asp">首页</a>><a href="../../default.asp">智能查询中心</a>><a href="../default.asp">症状</a>>常见症状</td> <td width="16%"> <div align="right"><a href="/sqgl/register/default.asp"><img src="../../images/corner-right-2.gif" width="89" height="20" border="0"></a></div> </td> </tr> </table> </td> </tr> <tr> </tr> </table> <table width="756" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="2"> <hr size="1"> </td> </tr> </table> <table width="756" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="147" valign="top" bgcolor="#EAFDEA"> <table width="147" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="15" valign="top" bgcolor="#c4cd94"><img src="../../images/first/corner.gif" width="15" height="13"></td> <td width="117" bgcolor="#c4cd94"> <div align="center" class="f9"></div> </td> <td width="15" valign="top" bgcolor="#c4cd94"> </td> </tr> <tr valign="top"> <td colspan="3" class="f9"> <div align="center" class="f9"></div> <p align="left" class="f9"> </p> </td> </tr> <tr> <td colspan="3" class="f9" height="25">  输入疾病名称：</td> </tr> <tr> <td colspan="3"> <form action="../../../../zhcx/sick/JB_QueryList.asp" id=form1 method=post>    <input type="text" name=strSickName size=14> <input type="image" border="0" name="imageField" src="../../images/first/go.gif" width="20" height="22"> </form> </td> </tr> <tr bgcolor="#CCCC99"> <td colspan="3" height="18" class="f10">其他常见症状</td> </tr> <tr> <td colspan="3"> <ul> <li><a href="001.asp" target="_blank"><span class="f10">发热</span></a></li> <li><span class="f10"><a href="002.asp" target="_blank">乏力</a></span></li> <li><span class="f10"><a href="003.asp" target="_blank">头痛</a></span></li> <li><span class="f10"><a href="004.asp" target="_blank">咳嗽、咯痰</a></span></li> <li><span class="f10"><a href="005.asp" target="_blank">便血</a></span></li> <li><span class="f10"><a href="006.asp" target="_blank">腰痛</a></span></li> <li><span class="f10"><a href="007.asp" target="_blank">恶心、呕吐</a></span></li> <li><span class="f10"><a href="008.asp" target="_blank">腹痛</a></span></li> <li><span class="f10"><a href="009.asp" target="_blank">水肿</a></span></li> <li><span class="f10"><a href="010.asp" target="_blank">心悸</a></span></li> <li><span class="f10"><a href="011.asp" target="_blank">贫血</a></span></li> </ul> </td> </tr> </table> </td> <td colspan="2" valign="top" width="609"> <table width="609" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="18" rowspan="6"> </td> <td rowspan="3" valign="top" width="441" bordercolor="#CCCCCC"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr bgcolor="#D8E7DE"> <td class="f9" height="16"><b><font color="#0033CC" class="f10">呼吸困难</font></b></td> </tr> </table> <p class="f9" align="center"><b><font color="#FF33FF">呼吸困难的分类</font></b></p> <p class="f9" align="left"><b>Hugh-Jones分类</b><br> </p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅰ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">与同龄组健康人一样工作、行走、爬坡及上、下楼</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅱ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">与同齿级健康人一样行下次，但爬坡、上下楼不如健康人</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅲ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">即使在平地上也不能像健康人一样行下次，按自己的速度，可步行1km以上</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅳ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">行走50m以上，必须休息一会，否则不能继续行走</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅴ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">说话，穿衣也感到呼吸急促，不能外出活动</td> </tr> </table> <p class="f9" align="left"><b>NYHA分类<br> </b></p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅰ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">日常活动丝毫不受影响</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅱ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">日常活动稍受限制，但在激烈运动时，出现呼吸困难、心悸</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅲ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">日常生活明显受限，即使在轻度活动时也出现呼吸困难和心悸</td> </tr> <tr> <td width="10%" class="f9" bgcolor="#FFEEEE">Ⅳ度</td> <td width="90%" class="f9" bgcolor="#EEEEFF">休息时也有症状，稍动症状加剧，因此需卧床，不能活动</td> </tr> </table> <p class="f9" align="center"><b><font color="#FF33FF">呼吸困难诊断程序</font></b></p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr> <td rowspan="12" width="3%" class="f9" bgcolor="#FFEEEE">急性</td> <td rowspan="12" width="4%" class="f9" bgcolor="#FFEEEE"> <div align="center">呼吸频率</div> </td> <td rowspan="10" bgcolor="#FFEEEE" class="f9" colspan="5"> <div align="center">增加</div> </td> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(+)，喉、上呼吸道阻塞，喉镜，纤支镜</td> <td colspan="2" class="f9" width="44%" bgcolor="#FFFFEE">喉炎、喉水肿、白喉；异物吸入</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(+)，叩诊治浊音，胸部X线</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">肺不张、胸腔积液</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(+)</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">支气管哮喘</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(+)，湿罗音，心脏杂音</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">心原性哮顺</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(-)，湿罗音</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">肺炎，肺水肿(左心衰竭、刺激性气体中毒、有机磷农药中毒)</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(-)，湿罗音(-)，低血压，静脉郁血</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">心包积液</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(-)，湿罗音(-)，过度换气，酸中毒</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">尿毒症，酮症、糖尿病</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(-)，湿罗音(-0，Hb降低</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">贫血</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)、气管移位(-)，哮鸣音(-0，湿罗音(-)，紫绀</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">高山病</td> </tr> <tr> <td colspan="3" class="f9" bgcolor="#FFEEEE">喘鸣(-)，气管移位(-)，哮鸣音(-)，湿罗音(-)，心理分析，环境调查</td> <td class="f9" colspan="2" width="44%" bgcolor="#FFFFEE">神经官能症，过度换气综合征</td> </tr> <tr> <td rowspan="2" class="f9" bgcolor="#FFEEEE" colspan="5"> <div align="center">减少</div> </td> <td rowspan="2" class="f9" width="15%" bgcolor="#FFEEEE">呼吸不规律</td> <td width="3%" class="f9" bgcolor="#FFEEEE">呼吸衰竭</td> <td colspan="3" class="f9" bgcolor="#FFFFEE">中毒</td> </tr> <tr> <td colspan="4" class="f9" bgcolor="#FFFFEE">呼吸肌麻痹</td> </tr> <tr> <td width="3%" class="f9" rowspan="6" bgcolor="#EEEEFF">慢性</td> <td width="4%" class="f9" rowspan="6" bgcolor="#EEEEFF"> <div align="center">胸部X线</div> </td> <td colspan="5" class="f9" rowspan="2" bgcolor="#EEEEFF">胸腔积液</td> <td colspan="5" class="f9" height="19" bgcolor="#FFFFEE">结核性胸膜炎</td> </tr> <tr> <td colspan="5" class="f9" bgcolor="#FFFFEE">肺癌、胸膜间皮细胞瘤、癌胸膜转移(血性胸腔积液)</td> </tr> <tr> <td colspan="5" class="f9" bgcolor="#EEEEFF">网状、结节状阴影</td> <td colspan="5" class="f9" bgcolor="#FFFFEE">隐原性弥漫性性肺泡炎，结节病，结缔组织病肺浸润，职业病(矽肺、铍肺等)，外源性过敏性肺泡炎</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="5">浸润、空洞、纤维条索阴影</td> <td colspan="5" class="f9" bgcolor="#FFFFEE">肺结核</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="5">球形、块影、肺不张</td> <td colspan="5" class="f9" bgcolor="#FFFFEE">肺癌</td> </tr> <tr> <td bgcolor="#EEEEFF" class="f9" colspan="5">心影扩大、杂音</td> <td colspan="5" class="f9" bgcolor="#FFFFEE">充血性心力衰竭，贫血性心脏病，肺栓塞</td> </tr> </table> <p class="f9" align="center"><b><font color="#FF33FF">引起呼吸困难的基础疾病</font></b></p> <table width="100%" border="1" cellspacing="0" cellpadding="0"> <tr> <td rowspan="6" width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">肺性呼吸困难</div> </td> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">肿瘤、炎症、异物、痉挛等(气道阻塞)</td> </tr> <tr> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">气胸、胸水、肺切除术后等(肺组织容量减少)</td> </tr> <tr> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9"> <p>慢性阻塞性肺疾病等(通气、血流比例失调)</p> </td> </tr> <tr> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">肺纤维化、肺水肿等(换气功能障碍)</td> </tr> <tr> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">肺动脉高压、肺心病</td> </tr> <tr> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">反射刺激的亢进(Hering-Breuer反射)</td> </tr> <tr> <td rowspan="3" width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">呼吸肌性呼吸困难</div> </td> <td colspan="2" rowspan="3" width="74%" bgcolor="#EEEEFF" class="f9">脊髓前角炎、重症肌无力、药物性呼吸肌麻痹</td> </tr> <tr> </tr> <tr> </tr> <tr> <td rowspan="5" width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">心源性呼吸困难</div> </td> <td colspan="2" rowspan="5" width="74%" bgcolor="#EEEEFF" class="f9">先天性心脏病、瓣膜性心脏病、高血压心脏病、冠心病、心肌梗死、动静脉瘘</td> </tr> <tr> </tr> <tr> </tr> <tr> </tr> <tr> </tr> <tr> <td width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">循环障碍性呼吸困难</div> </td> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">大量失血</td> </tr> <tr> <td rowspan="3" width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">代谢性呼吸困难</div> </td> <td colspan="2" rowspan="3" width="74%" bgcolor="#EEEEFF" class="f9">糖尿病、酸中毒、尿毒症、甲状腺功能亢进等</td> </tr> <tr> </tr> <tr> </tr> <tr> <td width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">中枢性呼吸困难</div> </td> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">脑肿瘤、外伤、出血等</td> </tr> <tr> <td width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">生理性呼吸困难</div> </td> <td colspan="2" width="74%" bgcolor="#EEEEFF" class="f9">登高、激烈运动等</td> </tr> <tr> <td rowspan="5" width="26%" bgcolor="#FFEEEE" class="f9"> <div align="center">其他</div> </td> <td colspan="2" rowspan="5" width="74%" bgcolor="#EEEEFF" 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