咽喉科疾病喉喑40張課件

脆慢性炎癥性Evaluationonly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL脆慢性炎癥性概述慢性喉炎是指喉部粘膜的慢性非特異性炎癥臨床常見于成人因病變程度的不同,可分為慢性單純性喉炎肥厚性喉炎萎縮性喉炎特點:聲嘶反復難愈Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述概述歷代醫(yī)家的認識:病名:起病急驟者:暴喑、卒喑反復發(fā)作、遷延不愈:久喑《景岳全書.聲喑》:“喑啞之病,當知虛實。實者,其病在標,因竅閉而喑也;虛者,其病在本,因內奪而喑也?！薄毒霸廊珪?卷28》確定了“金實不鳴”、“金破不鳴”的理論。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述概述中醫(yī)對本病的認識中醫(yī)把本病歸屬于“慢喉喑”、“久喑”的范疇YNETaAVaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述二、病因病機·多由肺、脾、腎臟虛損所致·亦可由病久氣滯血瘀痰凝,或痰熱蘊結致聲門開合不利引起。具體分述如下:Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機二、病因病機素體虛弱,肺腎陰虧,陰虛生內熱,或勞累太過肺金清肅虛火上炎或久不行,腎蒸灼喉嚨,病失養(yǎng)陰無以上聲門失健而乘成喑。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機二、病因病機致氣滯血瘀咽喉病后余痰凝,聲帶邪未清,結喉嚨脈腫脹,或形聚于喉;或受損成小結、息過度發(fā)聲肉,妨礙發(fā)耗傷氣陰音而為喑Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機二、病因病機過度發(fā)音耗傷肺氣,氣虛則無以少氣成喑或久病失調,鼓動聲門肺脾氣虛Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機二、病因病機飲食不節(jié)或邪熱犯肺勞損傷脾,肺失宣肅,聲門開合不脾失健運,痰熱困結利而喑聲嘶聚濕成痰,啞久蘊化熱Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL二、病因病機、病因病機西醫(yī)病因其病因甚為復雜,未完全明確,多認為系持續(xù)性喉部受刺激所致急性喉炎反復發(fā)作或遷延不愈的結果用聲過度,發(fā)聲不當吸入有害氣體、吸煙化學粉塵或煙酒過度鼻、鼻竇、咽部的感染下呼吸道感染的膿性分泌物與咽長期接觸6全身疾病,如糖尿病、肝硬化、心臟病、內分泌紊亂等波及喉部,并使全身抵抗力下降。Vaudononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL、病因病機咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑40張課件咽喉科疾病喉喑4