肝脏触诊(国外英文资料).docVIP

肝脏触诊(国外英文资料) The liver touch It is mainly used to understand the position of the lower margin of the liver and the texture, edge, surface and pulsation of the liver. When palpation, the person is in the position of supine position, two knee joint buckling, make abdominal wall relaxed, and do more deep abdominal breath to make the liver move up and down. The inspectors were placed on the right side of the patient with a single hand or both hands. (l) single hand touch method: is relatively common, inspectors will hand four fingers together, joint unbend, put on the right side of the abdomen with the costal margin roughly parallel to estimate beneath the edge of the liver or percussion hepatic dullness down to the bottom of the world, with exhale, patients with finger pressure to the abdominal wall depth, inhale, finger touch up against liver edge down. So repeated, finger moves to the costal margin, until touch the liver or costal margin, to be on the right collarbone midline and the center of the former line, palpation liver edge respectively and in calm breathing when measured with the costal margin or sword is the root of distance, expressed in cm. The most sensitive part of the contact is the radial side of the front of the finger, not the tip. It should be mainly used to indicate the ventral contact liver. When examining the advanced abdominal muscles, the right hand should be placed at the outside edge of the rectus abdominis, or the liver margin may be covered up or the anterior abdominal tendon is misdiagnosed as the liver margin. (3) palpate the liver needs to work closely with breathing movements, to inhale the fingers elevate speed must be behind the abdominal wall is raised, and exhale the fingers should be down before the abdominal wall subsidence premise, so you may have two opportunities to reach the liver edge. The beginners palpation should begin with the anterior surface of the iliac spine and gradually move up to avoid the noticeable liver. (5) in