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Glossary 术语表
Pub Date : 2021-02-01 DOI: 10.1093/med/9780198831815.003.0029
T. Robinson, Jane Scullion
This chapter provides an alphabetical glossary of terms used in respiratory medicine, which are comprehensively covered in this second edition of the Oxford Handbook of Respiratory Nursing. These include subjects such as altitude and its effect of the lungs, to angina, antigens, anoxia, and apnoea; breathlessness, bronchiolitis, and bronchospasm; through to vasodilation, ventilation, and vesicular sounds. While the main text covers these subjects comprehensively with systematic description of the main respiratory diseases found in adults, this glossary is an at-a-glance guide to the terms a medical professional will need to know, particularly when discussing and meeting the needs of respiratory patients.
本章提供了一个按字母顺序的术语表,用于呼吸医学,这是全面覆盖在这第二版的牛津呼吸护理手册。其中包括海拔及其对肺部、心绞痛、抗原、缺氧和呼吸暂停的影响;呼吸困难、细支气管炎和支气管痉挛;通过血管扩张,通气和水泡音。虽然主要文本涵盖了这些主题,全面系统地描述了在成人中发现的主要呼吸系统疾病,但本术语表是医学专业人员需要知道的术语的概览指南,特别是在讨论和满足呼吸系统患者的需求时。
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引用次数: 0
Acute respiratory distress syndrome (ARDS) 急性呼吸窘迫综合征
Pub Date : 2021-02-01 DOI: 10.1093/MED/9780198831815.003.0006
T. Robinson, J. Scullion
The incidence of describing acute respiratory distress syndrome (ARDS) is approximately 23% in mechanically ventilated patients. The diagnosis of ARDS varies widely; studies report a variation in the population diagnosed with ARDS, from 10 to 86 cases per 100,000. Complications of mechanical ventilation are common and include ventilator-associated pneumonia (VAP), barotrauma from excessive airway pressures, and volutrauma from excessive tidal volumes which may both worsen ARDS. Pneumothorax occurs in some patients, necessitating the placement of chest drains. This chapter starts with describing ARDS and the Berlin Definition, and its incidence. It also covers aetiology and physiology, then goes on to its treatment and general management. This includes respiratory support, position changes, and other treatments. Situation-dependent prognoses are outlined. Specific nursing care is also described.
在机械通气患者中,急性呼吸窘迫综合征(ARDS)的发生率约为23%。ARDS的诊断差异很大;研究报告说,在诊断为ARDS的人群中,每10万人中有10例到86例不等。机械通气的并发症很常见,包括呼吸机相关性肺炎(VAP)、气道压力过大造成的气压创伤和潮气量过大造成的容量创伤,这两者都可能加重ARDS。有些病人发生气胸,需要胸腔引流。本章首先描述ARDS和柏林定义及其发生率。它还包括病因和生理学,然后是治疗和一般管理。这包括呼吸支持、体位改变和其他治疗。概述了依赖于情况的预测。还描述了具体的护理。
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引用次数: 0
Respiratory investigations 呼吸系统调查
Pub Date : 2021-02-01 DOI: 10.1093/med/9780198831815.003.0005
T. Robinson, Jane Scullion
There are many investigations in respiratory medicine, ranging from basic tests to more invasive procedures. Respiratory investigations are the final pieces in the jigsaw to help respiratory nurses and nurse practitioners reach a diagnosis. Many nurses do not work in specialized respiratory units and will not have access to the most sophisticated investigations. However, all respiratory nurses should understand what tests are available, be aware of how the tests are performed, and of any preparation required before and after the test, so they can explain these procedures to their patients. This chapter offers an insight into the application of respiratory investigations and their role in specialized respiratory units.
在呼吸医学中有许多调查,从基本的测试到更具侵入性的程序。呼吸系统检查是帮助呼吸系统护士和执业护士做出诊断的最后一部分。许多护士不在专门的呼吸科工作,无法接触到最复杂的检查。然而,所有的呼吸科护士都应该了解哪些检查是可用的,知道这些检查是如何进行的,以及在检查前后需要做的准备工作,这样他们就可以向病人解释这些程序。本章提供了一个深入了解的应用呼吸调查和他们的作用在专门的呼吸单位。
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引用次数: 0
Obstructive sleep apnoea 阻塞性睡眠呼吸暂停
Pub Date : 2021-02-01 DOI: 10.1093/MED/9780198831815.003.0013
T. Robinson, J. Scullion
This chapter covers the causes, signs, and symptoms of obstructive sleep apnoea (OSA). It explains the process of diagnosis, from a history, medications, family, and psychosocial history, occupation, and diagnostic procedures. Differential diagnoses that should be excluded are listed. The prevalence of OSA is estimated to be around 4% of the population. It is quite a common disorder, although this figure may be an underestimate as many people may not seek treatment. Prevalence figures also vary according to the chosen threshold for defining a significant sleep abnormality and symptoms. Treatment options are also outlined, and the specific aspects of nursing care are listed.
本章涵盖了阻塞性睡眠呼吸暂停(OSA)的原因、体征和症状。它解释了诊断的过程,从历史,药物,家庭,社会心理历史,职业和诊断程序。应排除的鉴别诊断被列出。据估计,阻塞性睡眠呼吸暂停的患病率约占人口的4%。这是一种非常常见的疾病,尽管这个数字可能被低估了,因为许多人可能不寻求治疗。根据所选择的定义显著睡眠异常和症状的阈值,患病率数字也有所不同。还概述了治疗方案,并列出了护理的具体方面。
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引用次数: 0
Tuberculosis (TB) 结核病
Pub Date : 2021-02-01 DOI: 10.1093/med/9780198831815.003.0022
T. Robinson, Jane Scullion
This chapter covers the key facts about tuberculosis (TB), then goes on to describe the epidemiology and pathophysiology of the disease. Risk factors, and signs and symptoms, and investigations are all covered. The treatment phase and standard drug therapies are shown, and directly observed therapy for the patient with an increased risk of poor adherence is described. Mono-resistant, multidrug-resistant, and extensively drug-resistant types are included in this chapter, as well as contact tracing in line with NICE clinical guidelines. Mycobacterium Tuberculosis (MTB) is part of a family of mycobacterium which includes Mycobacterium bovis. M. bovis is uncommon in humans, although it frequently affects cattle and badgers. MTB can affect any organ in the body; this chapter will concentrate on the diagnosis, treatment, and prevention of pulmonary MTB in adults in the UK.
本章涵盖有关结核病的关键事实,然后继续描述该疾病的流行病学和病理生理学。风险因素、体征和症状以及调查都包括在内。显示了治疗阶段和标准药物治疗,并描述了对依从性差风险增加的患者的直接观察治疗。本章包括单耐药、多耐药和广泛耐药类型,以及符合NICE临床指南的接触者追踪。结核分枝杆菌(MTB)是包括牛分枝杆菌在内的分枝杆菌家族的一部分。牛支原体在人类中并不常见,尽管它经常感染牛和獾。结核分枝杆菌可以影响身体的任何器官;本章将集中在诊断,治疗和预防结核分枝杆菌在英国成人。
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引用次数: 0
Bronchiectasis 支气管扩张
Pub Date : 2021-02-01 DOI: 10.1093/med/9780198831815.003.0008
T. Robinson, Jane Scullion
Bronchiectasis is defined as irreversible bronchial wall dilatation and thickening. It may present clinically with recurrent chest infections, cough, chronic sputum production, shortness of breath, pleuritic chest pain, fatigue, and malaise. It can occur as a result of a primary infection, toxic insult occurring at any time from childhood to late adulthood, immunodeficiencies, some inflammatory conditions, and some inherited conditions such as primary ciliary dyskinesia and cystic fibrosis, but in approximately 50% of cases no underlying cause is found. This chapter covers the causes, clinical features, and management of bronchiectasis, including antibiotic treatment. Other infections that may occur are also explained, and monitoring regimes are indicated.
支气管扩张被定义为不可逆的支气管壁扩张和增厚。临床表现为反复发作的胸部感染、咳嗽、慢性咳痰、呼吸短促、胸膜炎性胸痛、疲劳和不适。它可由原发感染、儿童期至成年后期任何时间发生的毒性损伤、免疫缺陷、某些炎症性疾病和一些遗传性疾病(如原发性纤毛运动障碍和囊性纤维化)引起,但约50%的病例没有发现根本原因。本章涵盖了支气管扩张的原因,临床特点和管理,包括抗生素治疗。还解释了可能发生的其他感染,并指出了监测制度。
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引用次数: 0
Pleural effusion 胸腔积液
Pub Date : 2021-02-01 DOI: 10.1093/med/9780198831815.003.0016
T. Robinson, Jane Scullion
If fluid collects in between the pleural layers the patient is deemed to have a pleural effusion. A pleural effusion can occur unilaterally (affecting the pleural space of one lung) or bilaterally (affecting both lungs). Pleural effusion is a very common presentation for a variety of different pathologies. This chapter provides the definition, aetiology, and clinical features of pleural effusion. Investigations (chest X-ray, ultrasound, thorax CT, pleural aspiration, LDH, and cytology among others) and management are included. Specific aspects of nursing care, including symptom control, care of drains and wound sites, and the provision of information and patient support are outlined.
如果液体在胸膜层之间聚集,则认为病人有胸腔积液。胸腔积液可发生在单侧(影响单肺胸膜间隙)或双侧(影响双肺)。胸膜积液是一种非常常见的表现为各种不同的病理。本章介绍胸腔积液的定义、病因和临床特征。包括检查(胸部x线,超声,胸部CT,胸膜抽吸,LDH和细胞学等)和处理。概述了护理的具体方面,包括症状控制、引流管和伤口部位的护理以及提供信息和患者支持。
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引用次数: 0
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Oxford Handbook of Respiratory Nursing
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