2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
a taw tes ntawm auscultation, uas sib raug kwv yees li ntawm qhov chaw ntawm thaj chaw dav dav uas lub plawv zaum. Nws nyob ntawm 3rd ICS (intercostal chaw) mus rau sab laug, txog ob (transverse) ntiv tes parasternally. Lub plawv yws tshwm sim los ntawm aortal tsis txaus thiab mitral stenosis tau tshwj xeeb yuav tau hnov.
Ntawm no, dab tsi yog hnov ntawm Erb lub ntsiab lus?
Ntawm Erb lub ntsiab lus koj yuav tsum tau hnov S1 thiab S2 suab sib npaug, yog li S1 (lub) = kaw ntawm mitral thiab tricuspid li qub, thiab s2 (dub) = kaw ntawm aortic thiab pulmonic li qub. Erbs taw tes yog ib qho kev sib koom ua ke ntawm cov cheeb tsam aortic thiab pulmonic raws li qhov koj xav tau hnov.
Tom qab ntawd, lo lus nug yog, koj ua Auscultate lub plawv li cas? Mloog tshaj aortic valve cheeb tsam nrog lub diaphragm ntawm lub stethoscope. Qhov no nyob hauv qhov chaw thib ob sab xis nruab nrab, ntawm sab xis ntawm sab xis (Daim duab 2). Thaum mloog txhua tus ntawm valve thaj tsam nrog lub diaphragm, txheeb xyuas S1 thiab S2, thiab nco ntsoov lub suab thiab kev siv zog ntawm lub plawv suab hnov.
Dhau li, puas yog s1 lossis s2 nrov dua ntawm Erb tus taw tes?
Ntawm 2nd L ICS, S2 yog ntau nrov dua tshaj S1 . Xyaum mloog 2nd L ICS los txheeb xyuas S2 raws li cov nrov dua suab, thiab tom qab ntawd nti maj mam raws ntawm sab laug sternal (mloog ntawm Erb lub ntsiab lus , tricuspid cheeb tsam thiab mitral cheeb tsam ntawm lub apex). Raws li koj ntiv tes nrog, ceeb toom S2 ua fainter thiab S1 ua nrov dua.
Vim li cas nws thiaj hu ua Erb lub ntsiab lus?
Wilhelm Erb thiab Erb tus taw tes . Ib cheeb tsam tau piav qhia los ntawm nws thiab qhov tseem dais nws lub npe yog Erb lub ntsiab lus . Qhov no taw tes nyob tsuas superior rau clavicle tau siv los ntawm Erb kom transcutaneously elicit contractions ntawm ntau yam proximal caj npab cov leeg nrog hluav taws xob stimulation.
Pom zoo:
Cov ntsiab lus dab tsi yog npau suav zais cov ntsiab lus?
Cov ntsiab lus nthuav tawm yog cov ntsiab lus tseeb, lossis zaj dab neeg, ntawm kev npau suav. Cov ntsiab lus tsis txaus ntseeg, ntawm qhov tod tes, hais txog lub ntsiab lus zais ntawm npau suav
Lub hauv paus ntsiab lus ntawm lo lus qaug dab peg yog dab tsi?
Seizure (n.) 'act of seizing,' lig 15c., los ntawm seize + -ure. Lub ntsiab lus 'kev mob tshwm sim tam sim ntawd' tau lees paub los ntawm 1779
Lub ntsiab lus ntawm lub hauv paus hauv lub sij hawm sarcoma yog dab tsi?
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Dab tsi ua rau tib neeg muaj kev nkag siab tob txog lub ntsiab lus thiab lub hom phiaj hauv lub neej?
1. Kev noj qab haus huv – kev sib xyaw ntawm lub cev, kev xav/kev xav, thiab kev noj qab nyob zoo. kev noj qab haus huv ntawm sab ntsuj plig - qhov kev nkag siab tob tob thiab lub ntsiab lus thiab lub hom phiaj hauv lub neej
Dab tsi yog lub ntsiab lus tseem ceeb rau kev tshem tawm ntawm lub cev txawv teb chaws embedded nyob rau hauv conjunctival ntawm lub qhov muag?
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