听诊技能浅谈(国外英文资料).docVIP

听诊技巧浅谈 Technical skills of listening and listening ? To ensure your stethoscopes auscultation results, follow these tips: ? Please try to listen in a quiet, well-lit, warm room. [helps to eliminate too much noise and heart check mechanical interference] ? Proper exposure of the listening area. [to make sure the chest of the stethoscope is in direct contact with the hearing site] ? Try to position the subject on the back, seat or left side (see figure A). [other positions are prone to multiple sources of audio and especially abnormal sound sources] ? Try to be on the right side of the hearing. [this reduces the sound of noise made by auditory tubes] ? You can use the auscultation of the stethoscope at the same time. [when a light touch is heard on the part of the ear, the lower frequency sound can be obtained by listening to the part of the hearing. ? The order of the listening position (see figure B). The correct auscultation contains at least four of the listening sites and the use of the bell-type auscultation with the bell-type. ? A. the left margin of the sternum (LLSB) - the 4th intercostal intercostal space, is the best listening area for the three pointed petals and the right heart. The 5th intercostal intercostal area of the Central Line of the apex of the center line is the best listening area for the coronary artery and the left heart. C. right heart - the second costal margin of the right margin of the sternum. It is the best listening area for the aorta. D. left heart - the second costal margin of the left margin of the sternum. It is the best listening area of the pulmonary artery. ? Try to be selective. We may only be able to focus on one source. When you focus on the systolic sounds of the heart, the diastolic heart sounds are likely to be ignored. ? The above hearing order is only one of many reasonable orders. Crucially, the four listening areas were heard in turn, and the four listening areas were listened to in high frequency and low frequencies.