七年制醫(yī)學(xué)課件臨床診斷5chest-資料下載頁(yè)
2025-09-25 22:52本頁(yè)面
【正文】 c ursion◇ P leur is y 胸膜炎◇ rib fr a c tu re 肋骨骨折◇ a scites 腹水 , pre g na nc y 妊娠 , po stope ra ti on of a bdom e n, n e uromuscula rdis e a seA bsent br eat h s o un d s⑴ ple ur a l e f f usion 胸腔積液⑵ pne umotho r a x 氣胸⑶ a te le c ta sis 肺不張 ( c omple te br onc hi a l obstr uc tion)★ R al e s an d r h on c h i (1) Rale s 羅音 a sho we r of discr e t e 不連續(xù)的 so undsre sult in g fr om th e passa ge o f ai r thr o u g h s e c r e ti o ns in t h ere spira t o r y tract an d fr om r e infla ti o n o f th e a l veo li andbro nc hi o l e s, th e w alls o f whic h have b e c ome adh e r e nt asre sult o f mo istu r e .◇ F ine ral es ( cr epitus) 細(xì)濕羅音 ( 捻發(fā)音 )◇ Mediu m rales 中濕羅音◇ Coar se rales 粗濕羅音R al e s Q u a l i t y ofPi t c hO r i gi n T i m e o foc c u r r i n gA f t e rc o u g hI n d i c at i o nFi n e Fi n e ,C r ac k l i n gH i g hA l ve ol i E n d o fi n s p i r at i o nN otc l e ar e dI n f l a m m at i o nor c o n ge s t i o nof a l ve ol iM e d i u m M e d i u m B r on c h i ol e s M i d d l e N otc l e ar e dI n f l a m m at i o nof s m al l e rb r o n c h ior b r o n c h i ol e sC oa r s e C oa r s e ,B u b b l i n gL o wB r on c h i E ar l y C l e ar e d I n f l a m m at i o nor s e c r e t i o nof b i g ge rb r o n c h i a n dt r ac h e a( 2) Rhon c h i 干羅音 a c ontinuous soundspr oduc e d b y the p a ssa g e of a ir throu g hthe na r r ow e d tra c he a , b r onc hi orbr onc hioles◇ W he e z ing 哮鳴 : hig h pitche d soundc a use d b y a i r f low throu g h c onstric t e da irw a y s, most of ten he a r d ine x pira tor y pha s e◇ S onor ous 鼾音 : lowe r pitche d soundc a use d b y a i r f low throu g h tra c he a o rma in bron c hi. I t sounds l ike snorin g(3) P l eu ra l f r i ct i on rub 胸膜摩擦音T he i nfla m ed rough en ed s u rface sof p l e ura r u bbin g t o ge t h er d ur i n gres pi r at i o n prod uce s a v erychara cte ri s t i c s o u nd .Pl e u r alf r i c t i o n r u bQual it y A r e abe inghe ar dT im eof oc c u r r ingI nf l ue nc ing f ac t o r sCoar s eS u p e r f i c i alL o w e r p ar tof t h e c h e s ti n t h eM i d a xi l l ar yl i n eAt t h e e n d o fi n s p i r at i o n ort h e b e gi n n i n gof e x p i r at i o n◆ T ak i n g d e e p b r e at h◆ F i r m l y p r e s s i n g t h es t e t h os c op e ov e r t h et h or ac i c w al l
職業(yè)教育相關(guān)推薦
鄂ICP備17016276號(hào)-1