胸部检查physicalexaminationofthechest.pptVIP

Physical Examination of the ChestDepartment of medicine Liu Yuan Chapter 3Lungs and Pleura 1. Inspection Respiratory rate and depth Respiratory Rhythm Tidal Breathing Cheyne -Stokes 2. Palpation Thoracic Expansion Vocal Fremitus 影响语音震颤2个主要因素 1、气管、支气管是否通畅 2、胸壁传导是否良好 影响语音震颤3个次要因素 1、通畅的支气管周围的传导介质的密度 固体＞液体＞气体 2、发音强、音调低＞发音弱、音调高 3、距气管、支气管距离近的区域语颤增强 Pneumonia Pleural Effusion Pneumothorax 3. Percussion Upper Lung Margins Normal 4～6cm Lower Lung Margins The Extent of Diaphragmatic Excursion Abnormal Percussion Sound 4. Auscultation 三种正常呼吸音 Normal Breath Sounds