20xx年醫(yī)學(xué)專題—熟悉胸部叩診音的分類(參考版)
2024-11-15 07:13本頁(yè)面
【正文】 ,。(3)特征：吸氣和呼氣都能聽(tīng)到，呼氣時(shí)更清楚。2，用聽(tīng)診器邊加壓邊聽(tīng)診．可以聽(tīng)到多個(gè)微小的“喳喳”音．類似捻發(fā)音。啰音的發(fā)生機(jī)制、分類(fēn l232。（2）觸診：熟悉肺部觸診內(nèi)容。ir243。,聽(tīng)診(tīngzhěn),語(yǔ)音共振 產(chǎn)生機(jī)理和檢查方法(fāngfǎ)及臨床意義與觸覺(jué)語(yǔ)顫相同 胸膜摩擦音 特點(diǎn)；發(fā)生部位；臨床意義,第四十八頁(yè)，共四十九頁(yè)。n b249。o)和低調(diào)干羅音 (3)特征：吸氣和呼氣都能聽(tīng)到，呼氣時(shí)更清楚；部位和強(qiáng)度易變,第四十六頁(yè)，共四十九頁(yè)。)末更明顯；中小水泡音同時(shí)存在；部位較恒定；咳嗽以后減輕或消失 (4)臨床意義：廣泛；肺底；局限濕羅音的不同意義,第四十五頁(yè)，共四十九頁(yè)。,聽(tīng)診(tīngzhěn),1.濕羅音 (3)特征：出現(xiàn)于吸氣(xī q236。,聽(tīng)診(tīngzhěn),羅音： Rale 附加音，有干濕羅音 1.濕羅音: Moist Rale (1)產(chǎn)生機(jī)理：氣流通過(guò)有稀薄分泌物的支氣管，氣流通過(guò)有液體的空洞 (2)種類(zhǒngl232。,聽(tīng)診(tīngzhěn),病理性的呼吸音 1.病理性肺泡呼吸音： (3)呼氣(hū q236。nx236。,聽(tīng)診(tīngzhěn),聽(tīng)診的方法(fāngfǎ) 正常呼吸音：肺泡呼吸音，支氣管呼吸音，支氣管肺泡呼吸音 病理性的呼吸音 1.病理性肺泡呼吸音： (1)增強(qiáng)：生理性，病理性,第四十一頁(yè)，共四十九頁(yè)。,第三十九頁(yè)，共四十九頁(yè)。,第三十七頁(yè)，共四十九頁(yè)。,第三十五頁(yè)，共四十九頁(yè)。最高點(diǎn)與最低點(diǎn)之間的距離即肺下界移動(dòng)范圍。 ji232。,Influencing factors for percussion,第三十三頁(yè)，共四十九頁(yè)。,5 Tympany is difficult to describe but implies that the sound is moderately loud and fairly well sustained, with a musical quality in which a specific pitch is often noted. It is normally heard in the left upper quadrant of the abdomen over the air filled stomach or over any hollow viscus. The pitch of tympany is variable, but it is usually highpitched, clear, hollow, and drumlike.,第三十一頁(yè)，共四十九頁(yè)。,3 Flatness is absolute dullness. When no air is present in the underlying tissue the sound is very short,feeble, and highpitched。)叩診音的分類,The normal percussion note varies with the thickness of the chest wall and the force applied by the examiner. 1 The clear, long, lowpitched sound elicited over the normal lung is termed resonance.,第二十八頁(yè)，共四十九頁(yè)。parallel to the ribs.,第二十七頁(yè)，共四十九頁(yè)。,(三)percussion,1.
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