胸部检查(八) 心脏检查-叩诊(国外英文资料).docVIP

胸部检查(八) 心脏检查-叩诊(国外英文资料) Chest examination (8) cardiac examination - percussion The purpose of heart percussion examination is to determine the heart, determine the size, shape and position of the heart in the chest. The heart is a non-gas-bearing organ, which is not covered by the lungs, and is called for absolute dulations (real sound). The part of the heart that is covered by the lung is relatively unvoiced. The heart of the tap refers to the relative turbidity of the percussion center, which is of great practical value because it reflects the actual size of the heart. (a) the heart percussion method (percussion method of heart) Generally instruct client to lie on the back, and the examiner will refer to the method of percussion. The middle finger of the left middle finger is attached to the chest wall and the outer margin of the heart, but it can also be parallel between the intercostal space and the intercostal space, from the lungs to the heart. Percussion strength is moderate: according to the patient fat and thin take appropriate strength of the diagnosis, the force should be fair, too strong and the light percussion do not be able to be able to make the heart the size of the heart. Follow a certain sequence? The order of percussion of the heart is to tap the left, and then to the right, from the bottom, from the outside. 3. Percussion heart left a boundary, the strongest apex beat at point outside 2 ~ 3 cm (generally for left collarbone midline slightly) between the fifth rib, outside-in percussion, percussion sound from surd into dullness, make a marker pen, and, in turn, move up to second floor. 4. Percussion heart right boundary, the hepatic dullness boundary between a rib (usually the intercostals) 4, outside-in percussion, percussion sound from surd into dullness, make a mark, and, in turn, move up to second floor. The position of the marking point, which is the boundary of the heart. It corresponds to the projection of the heart in the anterior chest