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ID:25146551
大小:3.02 MB
页数:31页
时间:2018-11-18
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1、PhysicalExaminationinRespiratorySystemwangyingyan1.Superficiallandmarks,imaginarylinesandregionsofthechestAnteriorlandmarkManubriumgladiolusXiphoidprocessAnteriorlandmarkSternalangle(louisangle)CosticartilageofsecondribBronchialbifurcationThesuperioredgeofcardiacatriumThejunctionofupperandlower
2、mediastinumTheleveloffifththoracicvertebraeposteriorPosteriorlandmarkThescapularanglesitorstand,armsattheside—seventhriborinterspaceorthelevelofeighththoracicvertebraTheseventhcervicalvertebralspineprominentlyprotrudingScapulaeangleseventhcervicalvertebralspineAnteriorimaginarylinesAnteriormidl
3、ineMidclavicularlineAnteriormidlinedrawnthroughthemiddleofthesternumMidclavicularlinedrawnthroughthemiddleoftheclavicleLateralimaginarylinesAnterioraxillarylinePosterioraxillarylineMidaxillarylineAnterioraxillarylinedrawnalongtheanterioraxillaryfoldsMidaxillarylinedrawnfromthevertexoftheaxillae
4、PosterioraxillarylinedrawnalongtheposterioraxillaryfoldsPosteriorimaginarylinesScapularlinePosteriormidlinePosteriormidlinedrawnthroughthepos-teriorspinousprocessofvertebraeScapularlinedrawnthroughthescapularangleAnteriorfossaeEpigastricangleInfraclavicularfossaSuprasternalfossaSupraclavicularf
5、ossaAxillaryfossaAxillaryfossaPosteriorimaginaryregionInfrascapularregionInterscapularregionSuprascapularregion2.ThoraxShape:symmetricalwithoutdeformityAnteroposterior/transversediameteris1:1.5Respiratoryrhythm:regularandsymmetricmodelAbdominalrespiratory—menandchildrenChestrespiratory—womenvei
6、ntendernessorsubcutaneouscrepitus4.LungInspectionRespiratoryrate:14-18cyclesperminuteIntercostalspace:narrow,widePalpationChestexcursionHandsalongcostalmarginInspiredeeplyObservemovementVocalfremitusplacebothpalmortheunlarsideofthehandsonthesymmetricalpositionwithalighttouchrepeatword“yi”compar
7、evibrationPleuralfrictionrubsBreathedeeply,PlacepalmortheulnarsideofhandsontheinferioranteriorlateralportionofthechestLiketwopiecesofleatherrubbedHoldingbreathingdisappearedPercussion1.PositionSitorlie,balancedbody,relaxmuscle,qui
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