胸部查体英文.ppt

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1、PhysicalExaminationinRespiratorySystemwangyingyan1.Superficiallandmarks,imaginarylinesandregionsofthechestAnteriorlandmarkManubriumgladiolusXiphoidprocessAnteriorlandmarkSternalangle(louisangle)CosticartilageofsecondribBronchialbifurcationThesuperioredgeofcardiacatr

2、iumThejunctionofupperandlowermediastinumTheleveloffifththoracicvertebraeposteriorPosteriorlandmarkThescapularanglesitorstand,armsattheside—seventhriborinterspaceorthelevelofeighththoracicvertebraTheseventhcervicalvertebralspineprominentlyprotrudingScapulaeangleseven

3、thcervicalvertebralspineAnteriorimaginarylinesAnteriormidlineMidclavicularlineAnteriormidlinedrawnthroughthemiddleofthesternumMidclavicularlinedrawnthroughthemiddleoftheclavicleLateralimaginarylinesAnterioraxillarylinePosterioraxillarylineMidaxillarylineAnterioraxil

4、larylinedrawnalongtheanterioraxillaryfoldsMidaxillarylinedrawnfromthevertexoftheaxillaePosterioraxillarylinedrawnalongtheposterioraxillaryfoldsPosteriorimaginarylinesScapularlinePosteriormidlinePosteriormidlinedrawnthroughthepos-teriorspinousprocessofvertebraeScapul

5、arlinedrawnthroughthescapularangleAnteriorfossaeEpigastricangleInfraclavicularfossaSuprasternalfossaSupraclavicularfossaAxillaryfossaAxillaryfossaPosteriorimaginaryregionInfrascapularregionInterscapularregionSuprascapularregion2.ThoraxShape:symmetricalwithoutdeformi

6、tyAnteroposterior/transversediameteris1:1.5Respiratoryrhythm：regularandsymmetricmodelAbdominalrespiratory—menandchildrenChestrespiratory—womenveintendernessorsubcutaneouscrepitus4.LungInspectionRespiratoryrate:14-18cyclesperminuteIntercostalspace:narrow,widePalpatio

7、nChestexcursionHandsalongcostalmarginInspiredeeplyObservemovementVocalfremitusplacebothpalmortheunlarsideofthehandsonthesymmetricalpositionwithalighttouchrepeatword“yi”comparevibrationPleuralfrictionrubsBreathedeeply,Placepalmortheulnarsideofhandsontheinferioranteri

8、orlateralportionofthechestLiketwopiecesofleatherrubbedHoldingbreathingdisappearedPercussion1.PositionSitorlie,balancedbody,relaxmuscle,qui