文档介绍：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、胸廓检查
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
检查内容？
Assess what?
胸壁chest wall
胸廓thoraces
胸膜pleura
肺脏lungs
胸部体表标志thoracic surface marker
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lineation of chest surface;thoracic linemarker
前正中线anterior midline
锁骨中线midclaviucular line
腋前线anterior axillary line
腋中线midaxillary axillary line
腋后线posterior line
肩胛线scapular line
后正中线posterior midline
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
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：潮式呼吸
间停呼吸
抑制性呼吸
叹气样呼吸
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
肺和胸膜检查
叩诊percussion
A method of medical diagnosis in which various areas of the chest are tapped to determine by resonance the condition of lungs.
叩诊音
清音resonance
过清音heperresonance
浊音dullness
实音flatness
鼓音tympany
叩诊(续)percussion-cont
方法method
间接叩诊mediate percussion
直接叩诊immediate percussion
内容content
肺尖fossae
肺下界inferior boundary of lung
肺下界移动度Measure diaphragmatic excursion
肺和胸膜检查
听auscultation
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
支气管肺泡呼吸音bronchovesicular breath soun