急慢性咽炎课件

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:

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

Acutepharyngitis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:

Theinflammationofmucosa,submucosaandlymphatictissue,whichisthepartofrespiratorytractinfection,resultingfromacuterhinitis解放军第89医院唐少松病因

Etiology1.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VirusinfectionCoxsackievirus/adenovirusBacterialinfectionStreptococcusStaphylococcusPneumoniadiplococcusAgentHyperthermiaDust/smogEvokingfactorThepoorenvironmentalconditionTheresistanceoftotalbody/localisdescent解放军第89医院唐少松诊断

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DiagnosisHistorySignSymptomPharyngealcultureDifferentiadiagnosisScarlatinaWhoopingcoughInfluenzameasles解放军第89医院唐少松治疗

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：Dobell’s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

Antibacterialtreatment:SMZ,RoxithromycinLocaldrug:Dobell’ssolutionTraditionalChinesemedicine

fludeton解放军第89医院唐少松慢性咽炎

Chronicpharyngitis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:

Thediffuseinflammationofmucosa,submucosaandlymphatictissue,whichisthepartofrespiratorytractchronicinfectionandtheclinicalcommondisease,multi-disease.解放军第89医院唐少松病理分型

pathologicaltyping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。Chronicsimplepharyngitischroniccongestionofmucosaismain,havingalittlehyperplasia.Chronichypertrophicpharyngitishyperplasiaofconnectivetissuesundermucosaandlymphatictissues,suchaslymphaticfollicleandpharyngeallateralcord.解放军第89医院唐少松临床表现

Clinicalsituation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ThediversityofsymptomForeignbodysensation,dryness,itchy,nausea,drycoughTotalbodysymptomUnclearSignsPharyngealreflexsensitiveChroniccongestionofmucosa,expansionofsmallvessels/scoto-red/havingdischargeThicknessofmucosa/WidthspreadcongestionHyperplasiaoflymphaticfollicle/thicknessofpharyngeallateralcord.Highexcretion,moresputum解放军第89医院唐