消化系统临诊_培训课件.pptVIP

消化诊断学 Diagnostics of Digestive System Diseases 消化内科 Gastroenterology Department 腹 部 听 诊 Abdominal Auscultation 1. Intestinal sound Gurgling sound produced by bowel movement with fluid and gas passing by; 4-5 times per min. normally and features judged by experiences; Active intestinal sound Over 10 times per min.: acute gastroenteritis, GI bleeding, etc. 肠鸣音亢进 (hyperactive intestinal sound) 如次数多且肠鸣音响亮、高亢甚至呈叮当声或金属音，称肠鸣音亢进，见于机械性肠梗阻。 肠鸣音减弱 (hypoactive intestinal sound) 肠鸣音明显少于正常，或许数分钟才听到一次，称肠鸣音减弱，见于老年性便秘、腹膜炎、电解质紊乱（低血钾）及胃肠动力低下等。 肠鸣音消失 (vanished intestinal sound)