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Physical Examinations I
Respiratory Exam: Lung Sounds and Percussion
Description
Respiratory exam skills include percussion and auscultation of the lungs. These techniques help identify lung problems during a physical exam. Percussion uses tapping to assess the chest, and auscultation uses a stethoscope to listen for breath sounds.
Percussion is a useful skill that is often s...
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Transcript
掌握呼吸系统叩诊和听诊的正确技术对于床旁诊断肺部疾病至关重要。叩诊是一项简单但非常有用的技术,若操作得当,可帮助医生识别潜在的肺部病理变化。另一方面,听诊能够为多种肺部疾病提供几乎即时的诊断,包括慢性阻塞性肺疾病、哮喘、肺炎和气胸。
在另一段视频中,我们介绍了如何对呼吸系统进行视诊和触诊。本视频将重点介绍该检查中的叩诊和听诊步骤。
在深入讲解临床检查的细节之前,让我们先回顾一下肺叶的解剖结构和呼吸音。这将有助于我们更好地理解叩诊和听诊的解剖学位置及其结果。
肺部叩诊和听诊的区域对应于肺叶,每个肺叶均可在胸壁下方定位。右肺较左肺大,分为三个肺叶:上叶、中叶和下叶。水平裂将上叶与中叶分隔开,而右斜裂则将中叶与下叶分隔开。左肺仅有两个肺叶:上叶和下叶,由左...
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