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--> 00:04.513\n气管支气管异物概述，\n\n00:05.962 --> 00:11.362\n气管支气管是异物误入气管、支气管引起的。\n\n00:13.031 --> 00:16.955\n急性危重症多见于5岁以下儿童成人，\n\n00:16.955 --> 00:20.580\n偶因呛咳、意识障碍等发生，\n\n00:21.430 --> 00:27.180\n若堵塞气道可快速导致窒息死亡，\n\n00:27.930 --> 00:32.131\n需重视预防和紧急处理。\n\n00:34.182 --> 00:35.932\n还有其他可能。\n\n00:41.287 --> 00:41.537\n嗯，\n\n00:41.588 --> 00:45.187\n支气管气管异物定义与分类，\n\n00:45.638 --> 00:50.088\n那么解剖学结构与生理功能。\n\n00:52.515 --> 00:54.765\n病理生理学改变及影响。\n\n00:55.748 --> 00:59.298\n诊断方法与技巧讨论。\n\n01:01.243 --> 01:04.444\n紧急处理与预防措施建议。\n\n01:07.934 --> 01:08.184\n那。\n\n01:09.086 --> 01:14.336\n核心高发人群与诱因高发人群有3岁以下儿童。\n\n01:16.137 --> 01:16.311\n嗯，\n\n01:16.311 --> 01:18.287\n因为磨牙未萌，\n\n01:18.686 --> 01:19.887\n咀嚼能力差，\n\n01:19.936 --> 01:23.186\n且喜欢将异物放入口中。\n\n01:24.910 --> 01:31.110\n成人多见于醉酒、癫痫发作、吞咽功能障碍者。\n\n01:32.398 --> 01:35.847\n常见异物是儿童以坚果。\n\n01:37.624 --> 01:42.223\n花生、瓜子、糖果、玩具零件、纽扣为主。\n\n01:42.973 --> 01:46.073\n成人以鱼刺、骨头、假牙。\n\n01:47.008 --> 01:47.508\n食物。\n\n01:48.708 --> 01:49.958\n残渣居多。\n\n01:52.055 --> 01:56.205\n诱发动作是进食时嬉笑哭闹。\n\n01:57.078 --> 02:00.477\n跑、跳或口含异物玩耍、工作。\n\n02:01.680 --> 02:02.680\n突然的呛咳。\n\n02:03.832 --> 02:05.582\n易使异物吸入气道。\n\n02:07.281 --> 02:08.481\n典型的症状。\n\n02:12.600 --> 02:13.199\n典型症状。\n\n02:14.718 --> 02:18.292\n症状随异物堵塞部位、大小而异。\n\n02:19.013 --> 02:21.113\n核心表现为。\n\n02:21.960 --> 02:24.860\n呛咳、呼吸困难、发干。\n\n02:26.917 --> 02:27.817\n分为三期。\n\n02:29.800 --> 02:31.350\n有这个异物吸入期。\n\n02:32.330 --> 02:33.880\n突发剧烈呛咳。\n\n02:35.248 --> 02:35.647\n憋气。\n\n02:36.934 --> 02:38.033\n面色发红。\n\n02:39.893 --> 02:42.143\n若异物嵌顿于声门，\n\n02:42.542 --> 02:45.292\n可立即出现窒息。\n\n02:46.395 --> 02:46.746\n昏迷。\n\n02:48.617 --> 02:49.367\n安静期。\n\n02:50.897 --> 02:54.597\n第二期安静期是异物进入支气管后。\n\n02:55.496 --> 02:57.796\n呛咳可能缓解，\n\n02:58.397 --> 03:02.197\n仅表现为轻微的咳嗽、气喘。\n\n03:03.309 --> 03:06.108\n易被误诊为感冒、支气管炎。\n\n03:09.011 --> 03:09.761\n并发症期，\n\n03:09.960 --> 03:10.761\n第三期。\n\n03:12.020 --> 03:14.270\n那这个异物长时间滞留，\n\n03:14.619 --> 03:17.020\n可引起肺炎、肺不张。\n\n03:18.602 --> 03:19.001\n气胸，\n\n03:19.701 --> 03:21.901\n反复的发热，\n\n03:21.901 --> 03:22.501\n咳嗽，\n\n03:22.751 --> 03:23.602\n咳脓痰。\n\n03:25.257 --> 03:26.358\n呼吸困难加重。\n\n03:30.020 --> 03:31.121\n看一下这个。\n\n03:32.716 --> 03:33.516\n义务的执行。\n\n03:34.578 --> 03:34.979\n类型。\n\n03:36.481 --> 03:37.031\n及特点。\n\n03:43.643 --> 03:45.893\n个临床表现。\n\n03:47.953 --> 03:50.052\n临床表现与诊断依据。\n\n03:52.227 --> 03:55.128\n临床表现它是有这个呼吸困难，\n\n03:55.277 --> 03:56.078\n呛咳。\n\n03:57.281 --> 04:00.731\n喘息、发干等症状，\n\n04:01.182 --> 04:04.132\n严重者导致窒息死亡。\n\n04:05.822 --> 04:06.772\n诊断依据的话。\n\n04:08.569 --> 04:10.319\n这个有异物吸入史，\n\n04:10.669 --> 04:12.419\n结合临床表现，\n\n04:12.869 --> 04:16.519\n影像学检查可以确诊。\n\n04:19.023 --> 04:22.173\n这里生理解剖学结构与生理功能。\n\n04:23.494 --> 04:26.045\n呼吸系统它这个基本结构。\n\n04:27.161 --> 04:29.235\n气道交换的一个重要通道，\n\n04:29.235 --> 04:31.661\n它是包括呼吸系统，\n\n04:32.161 --> 04:39.460\n有鼻腔、咽喉、气管、支气管等部分。\n\n04:41.347 --> 04:44.947\n是人体进行气体交换的重要通道。\n\n04:46.546 --> 04:48.846\n结构复杂而且精细。\n\n04:50.545 --> 04:52.795\n呼吸系统结构复杂，\n\n04:53.446 --> 04:55.895\n包括多器官和组织，\n\n04:56.895 --> 05:00.645\n每个部分都有其特定的形态和功能。\n\n05:01.695 --> 05:03.445\n易受外界因素影响。\n\n05:04.891 --> 05:07.541\n由于呼吸系统直接与外界相通。\n\n05:08.593 --> 05:11.843\n因此容易受到各种外界因素的影响。\n\n05:12.997 --> 05:16.597\n如空气中的污染物、细菌、病毒等等。\n\n05:18.744 --> 05:21.244\n它这个气管支气管的一些特点，\n\n05:21.644 --> 05:23.545\n它们之间是相连的管道，\n\n05:24.144 --> 05:27.644\n具有通气和清除呼吸道分泌物的功能。\n\n05:29.430 --> 05:30.381\n气管壁较厚，\n\n05:30.531 --> 05:31.980\n而且管腔较大，\n\n05:32.330 --> 05:35.430\n有利于气体通过分泌物的排出。\n\n05:37.665 --> 05:39.239\n那么支气管，\n\n05:39.239 --> 05:40.915\n它是气管的分支。\n\n05:41.794 --> 05:44.394\n那么像树枝一样折节分支。\n\n05:45.730 --> 05:48.480\n最终将气体输送到肺泡。\n\n05:49.597 --> 05:51.847\n支气管的壁较薄，\n\n05:52.247 --> 05:53.447\n管腔较小。\n\n05:54.601 --> 05:55.652\n但分支众多，\n\n05:56.451 --> 05:59.152\n有利于气体的分布交换。\n\n06:02.555 --> 06:05.656\n那这个异物残留的这个部位和原因。\n\n06:07.539 --> 06:09.389\n异物容易滞留的部位。\n\n06:10.212 --> 06:13.611\n它是在气管和支气管的交界处。\n\n06:14.484 --> 06:16.084\n以及支气管的分叉处。\n\n06:17.196 --> 06:20.170\n原因是因为这些部位呢，\n\n06:20.170 --> 06:21.596\n这管腔较窄，\n\n06:22.096 --> 06:23.395\n异物容易阻塞。\n\n06:25.007 --> 06:27.608\n而且同时这些部位也是。\n\n06:28.609 --> 06:30.908\n气流经过的速度较快。\n\n06:32.718 --> 06:35.519\n异物容易被气流带入并且滞留。\n\n06:38.316 --> 06:39.066\n他生理。\n\n06:40.678 --> 06:41.553\n生理功能呢，\n\n06:41.553 --> 06:44.428\n这个气管它是气体交换，\n\n06:44.977 --> 06:46.227\n通过呼吸运动，\n\n06:46.578 --> 06:49.328\n人体可以吸入空气中的氧气，\n\n06:49.928 --> 06:55.428\n并将其输送到全身各组织细胞进行氧化代谢，\n\n06:55.977 --> 07:00.477\n同时将细胞产生的二氧化碳排出体外，\n\n07:00.977 --> 07:03.127\n维持机体内环境稳定。\n\n07:05.686 --> 07:06.436\n防御功能。\n\n07:07.701 --> 07:10.851\n它这个呼吸系统具有一定的防御功能的。\n\n07:11.735 --> 07:16.411\n能够清除空气中的细菌、病毒、有害物质，\n\n07:16.411 --> 07:18.835\n保护呼吸道免受感染。\n\n07:21.180 --> 07:22.381\n生理功能简介。\n\n07:25.240 --> 07:31.740\n这个呼吸系统能够调节吸入空气的温度和湿度，\n\n07:32.290 --> 07:36.191\n使其更加适合人体内部的环境需求。\n\n07:38.696 --> 07:38.796\n嗯，\n\n07:38.796 --> 07:39.897\n吸入氧气，\n\n07:40.796 --> 07:41.696\n生理功能，\n\n07:41.696 --> 07:44.846\n它是空气中的氧气通过呼吸道进入肺泡，\n\n07:45.346 --> 07:47.796\n再通过肺泡进入血液。\n\n07:48.856 --> 07:51.457\n与红细胞中的血红蛋白结合。\n\n07:52.479 --> 07:54.128\n形成氧合血红蛋白，\n\n07:54.378 --> 07:57.778\n从而被输送到全身各组织细胞里。\n\n08:00.154 --> 08:06.105\n细胞代谢产生的二氧化碳通过血液被输送到肺泡，\n\n08:06.355 --> 08:09.654\n再通过呼吸运动排出体外。\n\n08:13.804 --> 08:14.404\n生理功能。\n\n08:16.096 --> 08:18.296\n这个粘液纤毛清除系统。\n\n08:19.247 --> 08:21.597\n呼吸道粘膜表面覆盖一层粘液，\n\n08:21.747 --> 08:26.798\n其中含有能够捕获细菌、病毒等有害物质的纤毛。\n\n08:27.661 --> 08:28.861\n通过纤毛的摆动，\n\n08:28.962 --> 08:31.161\n将有害物质排出体外。\n\n08:33.820 --> 08:35.171\n第二是咳嗽反射。\n\n08:36.440 --> 08:38.390\n当呼吸道受到刺激时，\n\n08:38.390 --> 08:41.341\n会触发咳嗽反射，\n\n08:41.890 --> 08:46.640\n通过咳嗽将呼吸道内的异物或分泌物排出体外。\n\n08:47.843 --> 08:50.193\n保持呼吸道清洁与通畅。\n\n08:53.549 --> 08:56.549\n病理生理学的改变以及影响。\n\n08:57.635 --> 08:58.085\n那么，\n\n08:58.085 --> 09:03.085\n异物它引起这个通气功能障碍的机制是有三点，\n\n09:03.685 --> 09:06.736\n第一个是异物阻塞气道。\n\n09:07.135 --> 09:08.885\n异物可阻塞气道，\n\n09:09.085 --> 09:11.335\n导致通畅通气不畅，\n\n09:11.786 --> 09:14.585\n引起呼吸困难、喘鸣等症状。\n\n09:15.648 --> 09:16.698\n异物移位，\n\n09:16.948 --> 09:19.799\n异物在气管、支气管内移动，\n\n09:20.049 --> 09:21.948\n可能加重阻塞程度。\n\n09:22.815 --> 09:24.815\n甚至导致完全性的阻塞。\n\n09:26.359 --> 09:29.658\n第三个是反射性的呼吸道痉挛。\n\n09:30.989 --> 09:32.989\n异物刺激呼吸道的黏膜，\n\n09:33.439 --> 09:35.189\n引起反射性的痉挛。\n\n09:36.369 --> 09:38.219\n加重通气障碍。\n\n09:40.960 --> 09:41.611\n这个一乳。\n\n09:43.151 --> 09:43.401\n嗯。\n\n09:44.471 --> 09:45.096\n吸入以后，\n\n09:45.096 --> 09:47.070\n它有个紧急处理方法，\n\n09:47.620 --> 09:48.971\n叫海姆立克法，\n\n09:49.520 --> 09:53.921\n适用场景是患者清醒的时候，\n\n09:53.971 --> 09:57.070\n那么出现呛咳、呼吸困难，\n\n09:57.471 --> 09:59.320\n无法说话、咳嗽。\n\n10:00.258 --> 10:03.708\n成人和1岁以上的儿童呢，\n\n10:03.958 --> 10:04.908\n都可使用。\n\n10:05.008 --> 10:08.109\n婴儿就是1岁以下的儿童，\n\n10:08.109 --> 10:11.158\n他是禁止使用此方法的。\n\n10:12.625 --> 10:13.775\n那么成人是？\n\n10:14.846 --> 10:16.221\n包括1岁以上的儿童。\n\n10:16.221 --> 10:18.471\n他施救方法是，\n\n10:18.471 --> 10:20.546\n施救者站在患者的身后，\n\n10:20.846 --> 10:23.596\n双臂环抱患者的腰部。\n\n10:25.104 --> 10:25.903\n以及双手。\n\n10:26.817 --> 10:28.468\n交叠一手握拳，\n\n10:29.317 --> 10:29.968\n拳眼，\n\n10:30.018 --> 10:35.168\n拳眼对准患者的上腹部、肚脐与剑突之间，\n\n10:35.968 --> 10:40.668\n然后快速的向上向内用力挤压上腹部，\n\n10:40.918 --> 10:42.218\n反复操作。\n\n10:43.245 --> 10:44.495\n直到异物排出。\n\n10:45.872 --> 10:46.822\n若患者昏迷，\n\n10:47.273 --> 10:48.773\n立即拨打120，\n\n10:49.223 --> 10:51.572\n同时进行心肺复苏。\n\n10:53.372 --> 10:56.072\n但是如果是碰到1岁以下以下的婴儿，\n\n10:56.322 --> 10:59.921\n那么施救者将婴儿俯卧于前臂，\n\n11:00.572 --> 11:01.921\n手掌托住。\n\n11:02.958 --> 11:06.107\n婴儿的这个下颌和胸部，\n\n11:06.607 --> 11:08.958\n使婴儿的头低脚高。\n\n11:10.010 --> 11:15.859\n用另一只手的掌根在婴儿背部两肩胛骨之间。\n\n11:17.210 --> 11:19.260\n快速向下拍击5次。\n\n11:25.489 --> 11:26.689\n若异物未排出，\n\n11:27.039 --> 11:28.338\n将婴儿翻正。\n\n11:29.807 --> 11:33.706\n手指和中指在乳头连线中点下方。\n\n11:34.848 --> 11:36.898\n快速向上按压5次。\n\n11:37.969 --> 11:39.119\n反复操作，\n\n11:39.719 --> 11:41.119\n同时拨打120。\n\n11:42.593 --> 11:43.244\n那这个。\n\n11:44.262 --> 11:45.486\n关键预防措施呢，\n\n11:45.486 --> 11:47.536\n儿童防护的话，\n\n11:47.536 --> 11:51.611\n是不给3岁以下的儿童吃坚果硬糖。\n\n11:53.314 --> 11:55.164\n整颗的葡萄糖。\n\n11:57.341 --> 11:57.791\n以及。\n\n11:59.169 --> 12:02.919\n这个教育儿童不要口含异物时玩耍跑跳。\n\n12:04.026 --> 12:05.526\n进食时保持安静，\n\n12:06.127 --> 12:07.276\n成人注意。\n\n12:08.547 --> 12:09.872\n进食时细嚼慢咽，\n\n12:09.872 --> 12:10.697\n不嬉笑，\n\n12:11.098 --> 12:12.098\n不玩手机。\n\n12:13.221 --> 12:20.870\n醉酒服药后避免进食配假牙佩戴者需要固定牢固。\n\n12:21.221 --> 12:22.471\n进食后及时。\n\n12:23.414 --> 12:26.564\n那个检查吞咽功能障碍的需要。\n\n12:27.530 --> 12:28.155\n这个食物，\n\n12:28.155 --> 12:29.280\n糊状食物。\n\n12:30.193 --> 12:31.343\n专人看护进食。\n\n12:33.299 --> 12:34.099\n特殊场景，\n\n12:34.099 --> 12:38.549\n那么看护者在避免这个儿童哭闹时进行强行喂食。\n\n12:40.145 --> 12:41.096\n防止食物。\n\n12:43.822 --> 12:44.171\n呛入。\n\n12:45.364 --> 12:46.789\n口含物品时，\n\n12:46.789 --> 12:48.564\n不要突然弯腰、低头。\n\n12:51.275 --> 12:51.924\n同时这个。\n\n12:55.017 --> 12:55.267\n嗯，\n\n12:55.267 --> 12:57.466\n那谈一下这个组织，\n\n12:57.817 --> 12:58.716\n局部组织，\n\n12:58.716 --> 13:00.817\n它这个有损伤和炎症反应。\n\n13:02.018 --> 13:03.168\n机械性的损伤，\n\n13:03.668 --> 13:06.043\n那么它这个异物对气道粘膜呢，\n\n13:06.043 --> 13:08.442\n它会直接刺激和损伤，\n\n13:08.442 --> 13:10.817\n导致粘膜水肿充血。\n\n13:12.010 --> 13:12.460\n反应，\n\n13:13.059 --> 13:14.159\n炎症反应，\n\n13:14.210 --> 13:16.059\n异物引起的局部反应，\n\n13:16.059 --> 13:17.559\n包括中性粒细胞。\n\n13:19.085 --> 13:27.085\n这个巨噬细胞等炎症的颈润释放炎症介质纤毛运动障碍。\n\n13:29.054 --> 13:31.104\n可导致纤毛运动受损。\n\n13:32.414 --> 13:34.713\n降低气道自我清洁能力。\n\n13:36.736 --> 13:37.586\n全身影响。\n\n13:38.992 --> 13:39.942\n及并发症呢？\n\n13:41.427 --> 13:42.776\n它是有缺氧。\n\n13:44.052 --> 13:45.802\n肺部感染、肺不张。\n\n13:47.380 --> 13:48.080\n肺气肿。\n\n13:49.723 --> 13:50.473\n在缺氧，\n\n13:50.473 --> 13:53.072\n这个通气障碍导致缺氧，\n\n13:53.223 --> 13:55.672\n影响全身脏器的功能，\n\n13:55.922 --> 13:57.473\n尤其是大脑和心脏。\n\n13:59.513 --> 14:00.263\n肺部感染呢，\n\n14:00.263 --> 14:01.638\n这个异物滞留了以后，\n\n14:01.638 --> 14:02.413\n容易影响，\n\n14:02.513 --> 14:03.963\n容易引起肺部感染，\n\n14:04.362 --> 14:06.213\n出现咳嗽、发热等症状。\n\n14:07.187 --> 14:07.788\n肺不张呢，\n\n14:07.788 --> 14:11.038\n这个支气异物阻塞了支气管，\n\n14:11.038 --> 14:12.838\n导致相应的肺不张，\n\n14:13.187 --> 14:14.388\n影响肺功能。\n\n14:16.289 --> 14:17.713\n那么肺气肿它是异物，\n\n14:17.713 --> 14:20.789\n导致远端的肺泡内的气体无法排出，\n\n14:21.088 --> 14:22.588\n最后形成肺气肿。\n\n14:25.099 --> 14:28.599\n病理生理的这个变化过程包括急性期。\n\n14:29.502 --> 14:33.002\n异物吸入后立即出现通气功能障碍。\n\n14:34.700 --> 14:37.250\n伴刺激性咳嗽、喘鸣等症状。\n\n14:38.450 --> 14:40.599\n还有肉芽肿形成期。\n\n14:41.455 --> 14:43.856\n炎症期、并发症期。\n\n14:47.497 --> 14:47.697\n嗯。\n\n14:49.041 --> 14:49.291\n那么。\n\n14:51.455 --> 14:51.755\n这个。\n\n14:53.354 --> 14:53.830\n急性期呢，\n\n14:53.830 --> 14:57.604\n它是异物吸入后立即出现通气障碍，\n\n14:57.905 --> 15:01.005\n伴随刺激性咳嗽、喘鸣等症状。\n\n15:02.179 --> 15:02.929\n后敏炎症期，\n\n15:02.929 --> 15:04.530\n肉芽肿形成期，\n\n15:04.580 --> 15:05.679\n并发症期，\n\n15:06.179 --> 15:07.429\n今天时间有限，\n\n15:07.479 --> 15:09.530\n我们下次再讨论。\n\n15:12.249 --> 15:12.648\n走。\n\n","v0247cg10004d767o6iljht8goathhn0",918,664,"2026-01-28 10:19:02","气管支气管异物如何急救","2026-06-11 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