呼吸系统评估

胸壁检查the examination of chest wall （一）胸壁检查 静脉veins 静脉 皮下气肿supcutaneous emphysema 皮下气肿 胸壁压痛tenderness 胸壁压痛 肋间隙intercostal sprace 肋间隙
（二）胸廓检查 the examination of thoraces
呼吸系统评估
Respiratory System Assessment
课堂目标 Learning objectives
1 2 3 4 说出胸部重要的体表标志 To state thoracic surface marker 描述呼吸系统检查的内容检查 To describe the content of Respiratory System 正确进行胸壁、 正确进行胸壁、胸廓检查 胸壁 To carry out the examination of chest wall and thoraces correctly 描述并正确进行肺部检查 To describe and carry out the examination of lungs correctly
叩诊音 清音resonance 清音 过清音hepeຫໍສະໝຸດ Baiduresonance 过清音 浊音dullness 浊音 实音flatness 实音 鼓音tympany 鼓音
叩诊( 叩诊(续)percussion-cont
方法method 方法method 间接叩诊mediate percussion 间接叩诊 直接叩诊immediate percussion 直接叩诊 内容content 内容content 肺尖fossae 肺尖 肺下界inferior boundary of lung 肺下界 肺下界移动度Measure diaphragmatic excursion 肺下界移动度
正常胸廓normal shape of thoraces 正常胸廓 椭圆，对称，前后径：左右径为1:1.5 椭圆，对称，前后径：左右径为1:1.5 胸廓外形改变the 胸廓外形改变the change of shape 扁平胸 flat chest 桶状胸barrel chest 桶状胸 佝偻病胸rachitic chest 佝偻病胸 脊柱畸形rachiterata 脊柱畸形
检查内容？ 检查内容？ Assess what?
胸壁chest wall 胸壁 胸廓thoraces 胸廓 胸膜pleura 胸膜 肺脏lungs 肺脏
胸部体表标志thoracic surface marker 胸部体表标志
骨性标志 胸骨上切迹suprasternal notch 胸骨柄manubrium of sternum 胸骨角sternal angle 剑突xiphoid process 肋间隙intercostal sprace 脊柱棘突spinous precess 脊肋角costalspinal angle
胸部体表标志
(一)线性标志 一 线性标志 线性标志lineation of chest surface;thoracic linemarker 前正中线anterior midline 前正中线 锁骨中线midclaviucular line 锁骨中线 腋前线anterior axillary line 腋前线 腋中线midaxillary axillary line 腋中线 腋后线posterior line 腋后线 肩胛线scapular line 肩胛线 后正中线posterior midline 后正中线
听auscultation 正常呼吸音normal 正常呼吸音normal breath sound
肺泡呼吸音 vesicular breath sound 支气管呼吸音bronchial breath sound 支气管呼吸音 支气管肺泡呼吸音bronchovesicular breath sound 支气管肺泡呼吸音
肺和胸膜检查
触palpation 胸廓扩张度thoracic expansion 触觉语颤 胸膜摩擦感pleural friction
fremitus
叩诊percussion
肺和胸膜检查
A method of medical diagnosis in which various areas of the chest are tapped to determine by resonance the condition of lungs.
肺和胸膜检查 the examination of lungs and pleura 视inspection 呼吸运动respiratory movement 胸式呼吸thoracic breathing 腹式呼吸 异常呼吸型态 呼吸频率 呼吸节律： 呼吸节律：潮式呼吸
间停呼吸 抑制性呼吸 叹气样呼吸
肺和胸膜检查
异常呼吸音abnormal 异常呼吸音abnormalbreath sound 罗音rale 湿罗音moist rale 、干罗音rhonchus 胸膜摩擦音pleural friction rub
胸部体表标志
窝\区fossa /region 腋窝axillary fossa 胸骨上窝suprasternal fossa 锁骨上窝supraclavicular fossa 锁骨下窝Infraclavicular fossa 肩胛上区supraclavicular region 肩胛下区infrascapular region 肩胛间区interscapular region