肺和肋膜(国外英文资料).docVIP

肺和胸膜(国外英文资料) A teaching case at qingyang health school The courses name, health assessment, is a teacher at the nursing level teaching The title Section 3 lung and thoracic examination teaching school 4 hours reference data The fifth edition of clinical diagnostics teaching The target Master the basic methods of lung and chest examination (see, touch, tap, listen) To grasp the common abnormal signs and clinical significance of the lung and pleura Focus on The difficulties in The lungs touch, tap and listen. The lungs are rapping and listening teaching methods The main points of the lecture time distribution about drawing One, depending on the clinical (1) breathing exercises Breathing exercises The two side breathing exercises are symmetrical 3, three concave) (2) breathing frequency, rhythm and depth 1, breathing too quickly Slow breathing Changes in breathing depth Breathing rhythm changes: tidal breathing and breathing 30 p.m. Methods the demonstration Second, the palpation (1) the degree of thoracic expansion 1, the inspection method 2, clinical significance (2) voice tremor 1, the inspection method 2, check the method (3) the feeling of chest friction 1, the inspection method 2, check the method Third, percussion (1) percussion method 15 points 45 points methods The chart demonstrates Drawing the demonstration Detailed interpretation of the Chart compares Mouth method of presentation Painting curve said Indirect percussion Direct percussion (2) the distribution of chest percussion Sound: normal lung tissue Drum note: lower left stomach bubble area Voice: lung and heart, liver junction Real sound: heart, liver surface (3) percussion of the lung Lung upper bound: the width is 4 ~ 6cm widen, narrow sense Lower boundary of the lung: method, normal lung lower bound position, decrease and increase significance The movement range of the lower part of the lung: the method, the normal range is 6 ~ 8cm, the meaning of reduction. (4) abnormal percussion of the chest: oth