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ID:58865111
大小:1.13 MB
页数:130页
时间:2020-09-30
《《心脏体检》PPT课件.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、DepartmentofDiagnostics1stAffiliatedHospitalChenMingPhysicalexaminationofheart1Equipment(器材):Stethoscope(听诊器);Position(体位):Supine(卧位)orseated(坐位)—apatient;standingtotherightsideofthepatient(anexaminer);Environment(环境):Quiet(安静);Exposure(暴露):Striptowaist(腰部);Lightening(光线):Good;leftside;tangent(切线)
2、;Knowledgeofanatomy(解剖知识):thorough(全面)Considerateandgentle。Physicalexaminationofheart(心脏检查)—Preparation2Midsternalline(胸骨中线)orAnteriormidline(前正中线)Midclavicularlines(锁骨中线)Anterior,middle,andposterioraxillarylines(腋前、中、后线)Sternalangle(胸骨角)--connectedwith2thcostalcartilage(与第二肋软骨相连)Intercostalspace(
3、肋间隙)Physicalexaminationofheart(心脏检查)—landmarksoftopographicanatomy(解剖标志)3Inspection(望诊)Palpation(触诊)Percussion(叩诊)Auscultation(听诊)心脏检查Physicalexaminationofheart(心脏检查)4Tangentlightening(切线方向光线);Sameheightasthorax(与胸廓同高)。Inspection(望诊)--gist(要点)5Precordialprominence(心前区隆起):Rightventricularhypertroph
4、yatpuberty(儿童发育完成前右心室肥大)★Congenitalheartdisease(先天性心脏病)★Rheumaticheartdisease(风湿性心脏病)★Massivepericardialeffusionintheadult(成人大量心包积液)。Inspection(望诊)--Deformityofthoraxes(胸廓畸形)6Inspection(望诊)--Apicalimpulse(心尖搏动)Definition(定义):Heartcontracts(心脏收缩)impactscorrespondingsiteoffrontchest(心尖向前冲击前胸壁相应位置)ap
5、icalimpulse(心尖搏动)。7Inspection(望诊)Normalapicalimpulse(正常心尖搏动):★Location----The5thintercostalspace(第五肋间),0.5~1.0cmmedialtoleftmidclavicularline(左锁骨中线内侧0.5~1.0cm);★Diameter----2.0~2.5cm。Inspection(望诊)--Apicalimpulse(心尖搏动)8Physiologicalfactors(生理性因素):★Leftlateralposition(左侧卧位)----extendtotheleft(向左移)f
6、or2.0~3.0cm.★Rightlateralposition(右侧卧位)----extendtotheright(向右移)for1.0~2.5cm.Inspection(望诊)--Displacementofapicalimpulse(心尖搏动移位)9Pathologicalfactors(病理性因素):★Heartitself(心脏本身)◆Enlargementofleftventricle(左心室增大)----extendtoleftanddownwards(左下移位);Inspection(望诊)--Displacementofapicalimpulse(心尖搏动移位)10Pa
7、thologicalfactors(病理性因素):★Heartitself(心脏本身)◆Enlargementofrightventricle(右心室增大)----extendtoleftbutnotdownwards(向左不向下移位);◆Enlargementofbothventricles(左右室均增大)----extendtobothleftandright.Inspection(望诊)--Displacement
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