1、Cardiopulmonary Assessment 基本资料基本资料 Basic Information 现病史 History of presenting condition, HPC 主诉chief complaint 既往史 Previous medical history, PMH 药物史 Drug history, DH 家族史 Family history, FH 社会史 Social history, SH 职业,居住环境,烟酒嗜好 Occupation, living environment, Smoking or alcohol abuse 患者检查 Patient exa
2、mination 实验结果 Test results 主观评定 肺部疾病常见的症状 呼吸急促 breathlessness, dyspnea 咳嗽 cough 咳痰、咯血 expectoration, hemoptysis 喘息 wheeze 胸痛 chest pain 呼吸急促时治疗师需要提问的问题 when a patient with dyspnea , the physical therapist should ask several important questions which are about: 1. Whether he or she has difficulty bre
3、athing when reclining horizontally. 2. Is it nesessary to be propped up on several pillows to sleep. 3. Does she or he have more difficulty breathing when reclining on one side? 4.Does he ever wake up at night short of breath to sit up or walk around to “catch his breath”? Acute dyspnea 1. Are you s
4、hort of breath at rest? 2.Do you have chest pain? 3.What were you doing before or at the time of the onset of shortness of breath? 4.Do you have any major medical or surgical conditions? Dyspnea in cardic patients 端坐呼吸Orthopnea 阵发性夜间呼吸困难Paroxysmal Nocturnal Dyspnea(PND) 斜卧呼吸Platypnea 转卧呼吸Trepopnea 功能性呼吸困难Functional Dyspnea 美国胸科协会呼吸困难量表美国胸科协会呼吸困难量表 American Thoracic society Dyspnea Scale