《儿科学》课程教学资源（授课教案）18 Primary Pulmonary Tuberculosis

重庆医科大学儿科学教案感染性疾病一原发性肺结核教师：许红梅授课题目TEACHINGTOPICPrimary pulmonary tuberculosis第几次课TIMES1st教学方法METHODSClass teaching教学对象OBJECTIVESeven years students in Grade 2007学时:TIME40minutes授课目的PURPOSEStudy the Primary pulmonary tuberculosis to know how to diagnosisandtreatthisdisease本课重点EMPHASISPathogenesis, clinical manifestations, diagnosis and treatment andprevention of Primary pulmonary tuberculosis本课难点DIFFICULTIESPatogeesis Pathoogical prognosdiagsandreament ofthePrimary pulmonary tuberculosis深化与拓宽Characteristics of pediatric TBThe developments英语要求All in EnglishEngish requirements践性教学安排Clinicaly,combinedwith the patientstolean themanfestaionsClinical studyand treatment; To discuss the diagnosis and differential diagnosisand treatment教材TEXTBOOKUSEDShen Xiaoming, Wang Weipin, Chief Editor ,《PEDIATRICS》 7thEdition,People'sHealth Publication,2008及参考资料REFERENCES1.胡亚美，江载芳．诸福棠实用儿科学.第7版.北京：人民卫生出版社,20022. Behrman RE, Kliegman RM and Jenson HB. Nelson textbook ofpediatrics.16th ed.SciencePress,HarcourtAsia,W.B.Saunders, 2001教具 TEACHINGAIDSPPT教具PPT教学程序Procedures详细见讲稿主要内容及安排（教学内容详细安排、教学方法的运用、师生活动设计、及时间分Details see the contents and配）arrangement

重庆医科大学儿科学教案 感染性疾病－原发性肺结核 教师：许红梅 授课题目TEACHING TOPIC Primary pulmonary tuberculosis 第几次课 TIMES 1 st 教学方法 METHODS Class teaching 教学对象 OBJECTIVE Seven years students in Grade 2007 学时: TIME 40 minutes 授课目的 PURPOSE Study the Primary pulmonary tuberculosis to know how to diagnosis and treat this disease 本课重点 EMPHASIS Pathogenesis, clinical manifestations, diagnosis and treatment and prevention of Primary pulmonary tuberculosis 本课难点 DIFFICULTIES Pathogenesis, Pathological prognosis, diagnosis and treatment of the Primary pulmonary tuberculosis 深化与拓宽 The developments Characteristics of pediatric TB 英语要求 English requirements All in English 践性教学安排 Clinical study Clinically, combined with the patients to learn the manifestations and treatment; To discuss the diagnosis and differential diagnosis and treatment. 教材 TEXT BOOK USED Shen Xiaoming, Wang Weipin, Chief Editor，《PEDIATRICS》7th Edition，People’s Health Publication，2008 及参考资料 REFERENCES 1. 胡亚美,江载芳. 诸福棠实用儿科学.第 7 版.北京:人民卫生出版 社,2002 2. Behrman RE, Kliegman RM and Jenson HB. Nelson textbook of pediatrics.16th ed. Science Press, Harcourt Asia, W.B. Saunders, 2001 教具 TEACHING AIDS PPT 教具 PPT 教学程序 Procedures （教学内容详细安排、教学方法的运用、师生活动设计、及时间分 配） 详细见讲稿主要内容及安排 Details see the contents and arrangement

The contents and Arrangements讲稿主要内容及安排meanstimeminPrimary pulmonary tuberculosisPPT40[(INTRODUCTION)Epidemiologic tendency ofTB globally, in China and in our hospitaEmphasistheonsituation ofchildren[Characteristics of pediatricTB].More severe tuberculosis infection2.Tissueles and organs are hypersensitivity totuberculosis bacili3. Lymphatic system involved widely4. Systemic spread tendency55. the location of primary focus in lungs is special6. prognosis is good in most children with primary tuberculosis and lesion is healedwvithabrionalcificationrsclero7.Most ofthem have contact history with tuberculosis patients8.The younger the patient, themore valuable of PPD testPrimary pulmonary tuberculosi[Introduction]Definitiontuberculosis that is caused by primary pulmonary infection of Mtuberculosis.Primary pulmonary TBincludesPrimary complex and Tuberculosis oftrachebronchial lymphnode[PathogenesisFlow chartThe development of the process of the disease (primary complex and Tuberculosis oand figuretrachebronchial lymphnodesEmphasis[PathologyPathology Location of primaryfocuson theBasic lesionpathologyChief Pathology characteristic:location ofprimaryPathological prognosisfocus andpathologicalprognosis

The contents and Arrangements 讲稿主要内容及安排 means time min Primary pulmonary tuberculosis PPT 40 [INTRODUCTION] 3 Epidemiologic tendency of TB globally, in China and in our hospital Emphasis on the situation of children [Characteristics of pediatric TB] 1. More severe tuberculosis infection 2. Tissues and organs are hypersensitivity to tuberculosis bacili 3. Lymphatic system involved widely 4. Systemic spread tendency 5. the location of primary focus in lungs is special 6. prognosis is good in most children with primary tuberculosis and lesion is healed with absorption, calcification or scleroma 7. Most of them have contact history with tuberculosis patients 8. The younger the patient, the more valuable of PPD test 5 Primary pulmonary tuberculosis [Introduction] ⚫ Definition: tuberculosis that is caused by primary pulmonary infection of M. tuberculosis. ⚫ Primary pulmonary TB includes Primary complex and Tuberculosis of trachebronchial lymphnodes 2 [Pathogenesis] The development of the process of the disease (primary complex and Tuberculosis of trachebronchial lymphnodes) Flow chart and figure 4 [Pathology] Pathology Location of primary focus : Basic lesions Chief Pathology characteristic: Pathological prognosis Emphasis on the pathology location of primary focus and pathological prognosis 4

[Clinicseverity ofthe clinicalmanifestations isvarious.Tuberculosis toxic symptoms2. Lung clinical manifestatios3.Oppression symptoms of Bronchial lymph node4.Extrapulmonary clinical manifestations5. others[Diagnosis]1.Epidemiology history :History of contact with tuberculosis person, BCG vaccinationhistory, History ofinfectious diseases recently2. Clinical manifestations : Tuberculosis toxic symptoms, Respiratory symptoms,Manifestations of tuberculosis hypersensitivity3. auxiliary examinations(I) PPD test,(2) Chest X-ray radiograph,(3) CT scan, (4) Flexible bronchofiberscopeexamination,(5)Finding tubercle bacllus in sputum or gastric aspirates,(6) ESR(7)Antibody of TB[TreatmentsEmphasis1. Antitubercular treatmentonthePrinciples(1) Principles :ofantituberculearly treatment @appropriate doses, drug combination,@standard medicationartreatmentadhere tofull course oftreatment,@two phase(2) Treatment regimen(3) Side effects of antitubercular drugs结课]2回顾课堂内容，说明重点要求掌握的内容，布置见习的内容和要求Review QA :What is the pathogenesis of Primary pulmonary tuberculosismain clinical manifestatioron of Primary pulmonary tuberculosis?What are the maodiagnosePrimarypulmonarytuberculosis?xiliaryexaminationLOWhat arethe principles of antitubercular treatment

[Clinical manifestations severity of the clinical manifestations is various. 1. Tuberculosis toxic symptoms 2. Lung clinical manifestatios 3. Oppression symptoms of Bronchial lymph node 4. Extrapulmonary clinical manifestations 5. others 8 [Diagnosis] 1. Epidemiology history ：History of contact with tuberculosis person, BCG vaccination history, History of infectious diseases recently 2. Clinical manifestations ： Tuberculosis toxic symptoms, Respiratory symptoms, Manifestations of tuberculosis hypersensitivity 3. auxiliary examinations (1) PPD test,(2) Chest X-ray radiograph,(3) CT scan, (4) Flexible bronchofiberscope examination,(5) Finding tubercle bacillus in sputum or gastric aspirates,(6) ESR (7) Antibody of TB 7 [Treatments] 1. Antitubercular treatment (1) Principles： ①early treatment, ②appropriate doses, ③drug combination, ④standard medication, ⑤adhere to full course of treatment, ⑥two phases (2) Treatment regimen (3) Side effects of antitubercular drugs Emphasis on the Principles of antitubercul ar treatment 5 [结课] 2 回顾课堂内容，说明重点要求掌握的内容， 布置见习的内容和要求 Review QA： 1. What is the pathogenesis of Primary pulmonary tuberculosis? 2. The main clinical manifestation of Primary pulmonary tuberculosis? 3. What are the main auxiliary examinations to diagnose Primary pulmonary tuberculosis? 4. What are the principles of antitubercular treatment?

总结及补充修正授课年级总结及修正补充内容备注2007级增加发病机理的流程图

总结及补充修正 授课年级 总结及修正补充内容 备注 2007 级 增加发病机理的流程图