诊断学诊断课件胸部检查newest

1、As you begin the exam, tell the patient to take a breath slightly deeper than normal through his mouth and expire immediately without holding his breath in between. The patient should breath as slowly and quietly as possible without making any vocal sound which would interfere with the permission of

2、 interpretation of breath sound. When using the diaphram of a stethoscope, warm the diaphram in your hand and then apply it to the patients skin. Make sure the entire surface of the diaphram is positioned firmly on the skin. So when the stethoscope is removed, the skin has blanched. The best positio

3、n for an anterior chest exam is with the patient supined and the head of the bed at 30 degree angle. The patients arm should be flat at his side. Clothing should be removed so as not to interfere with the ausculation of the lung sound.When using the bell of the stethoscope, place it slightly on the

4、appropriate area without exerting pressure. Otherwise, the patients chest will act as a diaphram defecting the purpose of using the bell to ausculate no frequent sound. If the patient is extremly thin, use the stethoscope of pediatric check please.The best position for conducting a posterior chest e

5、xam is with the patient sitting up or leaning forward, arm cross over chest and hands on opposite shoulder. This seperates the scapula, providing better access to posterior exam.It is imperative to access posterior breath sound or significant problem may be missed. Therefore, if the patient is unabl

6、e to sit up, he may be logrolled on the one side. If the logrolling is not possible, slide stethoscope between the patient and the matres to listen to the posterior chest.呼吸系统常见疾病的主要症状和体征呼吸系统常见疾病的主要症状和体征 The main symptoms and signs of the common respiratory diseases 视视 诊诊 触触 诊诊 叩叩 诊诊 听听 诊诊疾疾 病病 胸廓胸廓

7、 呼吸动度呼吸动度 气管位置气管位置 语音震颤动语音震颤动 音响音响 呼吸音呼吸音 啰音啰音 语音共振语音共振大叶肺炎大叶肺炎 对对 称称 患侧患侧 正中正中 患侧患侧 浊音浊音 支气管呼吸音支气管呼吸音 湿啰音湿啰音 患侧患侧 气气 胸胸 患侧饱满患侧饱满 患侧患侧 移向健侧移向健侧 或消失或消失 鼓音鼓音 或消失或消失 无无 或消失或消失 视视 诊诊 触触 诊诊 叩叩 诊诊 听听 诊诊疾疾 病病 胸廓胸廓 呼吸动度呼吸动度 气管位置气管位置 语音震颤动语音震颤动 音响音响 呼吸音呼吸音 啰音啰音 语音共振语音共振 肺气肿肺气肿 桶桶 状状 两侧两侧 正中正中 两侧两侧 过清音过清音 多无多无 视视 诊诊 触触 诊诊 叩叩 诊诊 听听 诊诊疾疾 病病 胸廓胸