胸 部 检 查（Chest examination）.docVIP

胸 部 检 查（Chest examination） Chest examination Department of respiration, the second hospital of Shanxi Medical University, Liu Tanzhen Notice of chest examination: 1, warm and quiet environment; 2. Expose as fully as possible; 3 、 stethoscope and hand warmth; 4. Breathe deeply when you auscultation; 5. Anterior, lateral, and back; 6, the left and right contrast, contrast; 7. Touch and listen. Section 1 body markings on the chest Skeleton marker 1, notch (Suprasternal): a small notch formed at the upper end of the breastbone, and the trachea is located at the middle of the notch 2, manubrium sterni 3, the sternal angle (sternal, angle, Louis, angle) is the sternum handle and the sternum body joint forward formation. Significance, A. Ping, second, anterior costal cartilage B. tracheal bifurcation The upper atrial margin of C. D., upper and lower mediastinum junction E. fifth thoracic spine level Physical examination is often used as an important indicator of the order of the ribs and intercostal spaces 4, angle (infrasteral angle): also known as the lower sternal angle, from the formation of both sides of the bow arch, 70 degrees to 110 degrees, and body shape. ? 5 (xiphoid: process), was located in the lower end of the sternum. 6, ribs and intercostal space (intercostal, space) 7. Scapula: the lower end of the scapula. In the upright position, when the two upper limbs are naturally drooping, the lower scapular angle is flat, seventh rib or eighth rib or eighth thoracic vertebra level, which can be used as a sign of the chest count, ribs and vertebral body 8. Spinous process (spinous, process):C7 is the most obvious marker used to count thoracic vertebrae. 9, rib angle (costalspinal, angle): the angle of the twelfth rib and the spine, the projection of the beginning of the kidney and ureter in this region. Two. Vertical mark 1 anterior midline (anterior, midline), i.e., the midline of the sternum 2 clavicle midline (midclavicular, line) 3 sternum line (sternal, line) T