[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fePMgQO9OiNBGlrHqLgUmCteaoHp0jq_fxjNKg2C37FA":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":67},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":63},4515,"闭锁肺综合征"," 闭锁肺综合征：症状、诊断和治疗指南\n"," 闭锁肺综合征, 闭锁肺, 闭锁综合症, 闭锁症状, 闭锁诊断, 闭锁治疗, 肺部疾病, 呼吸系统疾病\n"," 了解闭锁肺综合征的症状、诊断和治疗方法。本文详细解析闭锁肺综合征的形成原因、临床表现及其医疗处理方案，帮助您更好地了解和管理这种罕见的肺部疾病。",[18,23,28,33,38,43,48,53,58],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},148571,"概述","\u003Cp>　　闭锁肺综合征(locked lung syndrome，LIS)是指支气管哮喘患者的气道阻塞进行性加重而达到危急状态。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},148572,"病因","\u003Cp>　　因反复雾化吸入异丙肾上腺素可致支气管黏膜肿胀，管腔狭窄，加之中间产物3-甲氧异丙基肾上腺素阻断β-受体以及通气/血流比率进一步失调等;支气管黏液阻塞主支气管腔或黏液栓广泛嵌塞细支气管;β-受体阻滞剂普萘洛尔使用不当而加重支气管痉挛。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},148573,"症状","\u003Cp>　　常见症状：端坐呼吸、发绀、胸廓异常、呼吸音减弱、哮鸣音、出汗异常\u003C/p>\u003Cp>　　喘憋症状突然加重，端坐呼吸，重度发绀，呼吸减慢至停止，大汗。体征有胸廓显著膨隆，双肺呼吸音减低或消失，可闻及沉闷性哮鸣音。心率增速常>150次/min，可有血压下降及心律失常。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},148574,"检查","\u003Cp>　　检查项目：动脉血气分析、肺功能检查、胸部透视、胸部MRI、胸部B超 、胸部平片、胸部CT检查\u003C/p>\u003Cp>　　1.实验室检查\u003C/p>\u003Cp>　　血气分析有PaO2下降，PaCO2升高及酸碱紊乱等肺功能检查肺活量及FEVl.0显著降低，气道阻力增加。\u003C/p>\u003Cp>　　2.其他辅助检查\u003C/p>\u003Cp>　　胸部X线检查可见双肺透亮度增强，呼气与吸气相无明显差异。\u003C/p>\u003Cp>\u003C/p>\u003Cp>\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},148575,"鉴别","\u003Cp>\u003C/p>\u003Cp>　　临床应与呼吸衰竭相鉴别。\u003C/p>\u003Cp>　　\u003C/p>\u003Cp>\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},148576,"并发症","\u003Cp>\u003C/p>\u003Cp>　　并发心律失常和电解质紊乱。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},148577,"预防","\u003Cp>\u003C/p>\u003Cp>　　祛除病因，积极治疗并发症。\u003C/p>",6,{"id":54,"classification":55,"description":56,"sort":57,"diseaseId":12},148578,"治疗","\u003Cp>　　1.病因治疗\u003C/p>\u003Cp>　　停用异丙基肾上腺素气雾剂或普萘洛尔(心得安)，有大量分泌物黏液栓阻塞气道时应反复吸痰，或经纤支镜做治疗性支气管灌洗，以改善通气。避免使用镇静剂，如吗啡或巴比妥类药物。\u003C/p>\u003Cp>　　2.轻症的处理\u003C/p>\u003Cp>　　可立即高流量吸氧，或高频喷射通气供氧;给予甲基泼尼松龙，地塞米松和氨茶碱。可试用布地奈德混悬液雾化吸入。同时予以适量补液和溶酶剂，以纠正脱水和溶解支气管内的黏液栓还应注意纠正电解质紊乱。对意识清楚者予以反复拍背，可协助排痰减轻气道阻塞。\u003C/p>\u003Cp>　　3.重症或并发高碳酸血症的处理\u003C/p>\u003Cp>　　应进行气管插管或气管切开，机械通气或人工辅助呼吸但应注意缓慢降低CO2张力，以免在纠正CO2潴留引起的呼吸性酸中毒时并发碱中毒，同时有利于吸痰、吸氧及气管内给药。\u003C/p>",7,{"id":59,"classification":60,"description":61,"sort":62,"diseaseId":12},148579,"饮食","\u003Cp>　　1、胡椒煲猪肚：胡椒10粒，猪肚120克，水适量煲汤，盐油调味，饮汤吃肉。\u003C/p>\u003Cp>　　2、人参蛤蚧散：吉林参2.5克，蛤蚧1对，紫河车75克，按此比例研成细末，装瓶备用，每日服1~3次，每次1.5~3克。\u003C/p>\u003Cp>　　3、冬虫夏草炖鹌鹑：冬虫夏草5克，鹌鹑2只，生姜3片，蜜枣3枚，水200毫升，加油盐调味，用文火炖两小时，饮汤食肉。\u003C/p>\u003Cp>　　4、剑花煲猪肺：剑花干20克，猪肺250克，水适量，用文火煲2小时，调味食用。\u003C/p>\u003Cp>　　5、冬虫夏草炖乌鸡：冬虫夏草5克，乌鸡75克，生姜3片，蜜枣1枚，水180毫升，用文火炖两小时，饮汤食肉。\u003C/p>",8,[64,65,66],"呼吸内科","血液内科","急诊科",true]