Submit Search
Upload
正確版身評胸腔
•
Download as PPTX, PDF
•
0 likes
•
8,497 views
溥元 羅
Follow
Health & Medicine
Report
Share
Report
Share
1 of 20
Download now
Recommended
anesthetic management of obese patient
anesthetic management of obese patient
anesthetic management of obese patient
Tushar Chokshi
Airway anatomy
Airway anatomy
dr anurag giri
In October 2019 Dr Pawa Was invited to the Romandie Day of Regional Anaesthesia in Lausanne, Switzerland by Dr Eric Albrecht. He was asked to share some of his tips on siting Paravertebral blocks for Breast Surgery
How I perform my Paravertebral Blocks for breast surgery
How I perform my Paravertebral Blocks for breast surgery
Amit Pawa
Auscultation(Resp)
Auscultation(Resp)
Ayurmitra Dr.KSR Prasad
Here i explained about mobilization in ICU , for physiotherapist.
Mobilization in icu
Mobilization in icu
manivel arumugam
physiotherapy treatment of dysfunctional breathing
Dysfunctional breathing
Dysfunctional breathing
DeepikaYadav160
人工呼吸器の基本①〜酸素化〜
人工呼吸器の基本①〜酸素化〜
研修医net
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
Dr. Shaheer Haider
Recommended
anesthetic management of obese patient
anesthetic management of obese patient
anesthetic management of obese patient
Tushar Chokshi
Airway anatomy
Airway anatomy
dr anurag giri
In October 2019 Dr Pawa Was invited to the Romandie Day of Regional Anaesthesia in Lausanne, Switzerland by Dr Eric Albrecht. He was asked to share some of his tips on siting Paravertebral blocks for Breast Surgery
How I perform my Paravertebral Blocks for breast surgery
How I perform my Paravertebral Blocks for breast surgery
Amit Pawa
Auscultation(Resp)
Auscultation(Resp)
Ayurmitra Dr.KSR Prasad
Here i explained about mobilization in ICU , for physiotherapist.
Mobilization in icu
Mobilization in icu
manivel arumugam
physiotherapy treatment of dysfunctional breathing
Dysfunctional breathing
Dysfunctional breathing
DeepikaYadav160
人工呼吸器の基本①〜酸素化〜
人工呼吸器の基本①〜酸素化〜
研修医net
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
Dr. Shaheer Haider
Airway Evaluation and Management
Airway Evaluation and Management
Khalid
Basic Life Support 2020
CPR , Basic Life Support 2020
CPR , Basic Life Support 2020
Saeid Safari
人工呼吸器設定 はじめの一歩
人工呼吸器設定 はじめの一歩
Ryutaro Seo
al bada hospital KSA
basic airway management
basic airway management
Salah Ashour
Anaesthesia for morbid obesity dr tanmoy
Anaesthesia for morbid obesity dr tanmoy
Dr. Tanmoy Roy
Differences between simv and psv modes on mechanical ventilators, and there's mechanisms
SIMV vs PSV.pptx
SIMV vs PSV.pptx
LwayAlAhdal
surgical approaches
management of b/l vocal cord paralysis
management of b/l vocal cord paralysis
Md Roohia
B 5 肺エコー
B 5 肺エコー
Katsushige Takagishi
End tidal co2 and transcutaneous carbon dioxide monitors
End tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoring
Antara Banerji
the lecture describe the differant airway mangement
Airway Manegement
Airway Manegement
Husni Ajaj
My Lip Cancer Overview presentation
Lip Cancer 101
Lip Cancer 101
krishnanpartha
A quick review of Post op care in Thoracic Surgery
Post op care thoracic Surgery
Post op care thoracic Surgery
dr-kannan
Pm34 胸部x線写真の読影②
Pm34 胸部x線写真の読影②
Kenichi Yoshida
presented in local chapter of ENT conference ... aural atresia ... congenital meatal stenosis
Aural atresia regional conference
Aural atresia regional conference
ENT Resident
xrays in ent, ent radiology, xrays in otorhinolaryngology, xray mastoid, xray pns, xray soft tissue neck, xray nasopharynx, contrast xrays
Xrays in ent- Dr Ashly Alexander
Xrays in ent- Dr Ashly Alexander
ashlyalexanderkiran
ITS MCQ BASED ON VENTILATORY MANAGEMENT .
Ventilation quiz question
Ventilation quiz question
santoshbhskr
休閒農場申請程序
休閒農場申請程序
休閒農場申請程序
ssuserf1c7ba1
Tracheostomy decannulation is always challenging and this presentation address the various issues, indications, contra-indications, problems and solutions.
Tracheostomy decanulation
Tracheostomy decanulation
Karnataka ENT Hospital & Research Center
Alternative technique of intubation retromolar, retrograde, submental and oth...
Alternative technique of intubation retromolar, retrograde, submental and oth...
Dhritiman Chakrabarti
tip plasty technique of rhinoplasty present by Ali Darini MD
tip plasty.pptx
tip plasty.pptx
alidarini1
More Related Content
What's hot
Airway Evaluation and Management
Airway Evaluation and Management
Khalid
Basic Life Support 2020
CPR , Basic Life Support 2020
CPR , Basic Life Support 2020
Saeid Safari
人工呼吸器設定 はじめの一歩
人工呼吸器設定 はじめの一歩
Ryutaro Seo
al bada hospital KSA
basic airway management
basic airway management
Salah Ashour
Anaesthesia for morbid obesity dr tanmoy
Anaesthesia for morbid obesity dr tanmoy
Dr. Tanmoy Roy
Differences between simv and psv modes on mechanical ventilators, and there's mechanisms
SIMV vs PSV.pptx
SIMV vs PSV.pptx
LwayAlAhdal
surgical approaches
management of b/l vocal cord paralysis
management of b/l vocal cord paralysis
Md Roohia
B 5 肺エコー
B 5 肺エコー
Katsushige Takagishi
End tidal co2 and transcutaneous carbon dioxide monitors
End tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoring
Antara Banerji
the lecture describe the differant airway mangement
Airway Manegement
Airway Manegement
Husni Ajaj
My Lip Cancer Overview presentation
Lip Cancer 101
Lip Cancer 101
krishnanpartha
A quick review of Post op care in Thoracic Surgery
Post op care thoracic Surgery
Post op care thoracic Surgery
dr-kannan
Pm34 胸部x線写真の読影②
Pm34 胸部x線写真の読影②
Kenichi Yoshida
presented in local chapter of ENT conference ... aural atresia ... congenital meatal stenosis
Aural atresia regional conference
Aural atresia regional conference
ENT Resident
xrays in ent, ent radiology, xrays in otorhinolaryngology, xray mastoid, xray pns, xray soft tissue neck, xray nasopharynx, contrast xrays
Xrays in ent- Dr Ashly Alexander
Xrays in ent- Dr Ashly Alexander
ashlyalexanderkiran
ITS MCQ BASED ON VENTILATORY MANAGEMENT .
Ventilation quiz question
Ventilation quiz question
santoshbhskr
休閒農場申請程序
休閒農場申請程序
休閒農場申請程序
ssuserf1c7ba1
Tracheostomy decannulation is always challenging and this presentation address the various issues, indications, contra-indications, problems and solutions.
Tracheostomy decanulation
Tracheostomy decanulation
Karnataka ENT Hospital & Research Center
Alternative technique of intubation retromolar, retrograde, submental and oth...
Alternative technique of intubation retromolar, retrograde, submental and oth...
Dhritiman Chakrabarti
tip plasty technique of rhinoplasty present by Ali Darini MD
tip plasty.pptx
tip plasty.pptx
alidarini1
What's hot
(20)
Airway Evaluation and Management
Airway Evaluation and Management
CPR , Basic Life Support 2020
CPR , Basic Life Support 2020
人工呼吸器設定 はじめの一歩
人工呼吸器設定 はじめの一歩
basic airway management
basic airway management
Anaesthesia for morbid obesity dr tanmoy
Anaesthesia for morbid obesity dr tanmoy
SIMV vs PSV.pptx
SIMV vs PSV.pptx
management of b/l vocal cord paralysis
management of b/l vocal cord paralysis
B 5 肺エコー
B 5 肺エコー
End tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoring
Airway Manegement
Airway Manegement
Lip Cancer 101
Lip Cancer 101
Post op care thoracic Surgery
Post op care thoracic Surgery
Pm34 胸部x線写真の読影②
Pm34 胸部x線写真の読影②
Aural atresia regional conference
Aural atresia regional conference
Xrays in ent- Dr Ashly Alexander
Xrays in ent- Dr Ashly Alexander
Ventilation quiz question
Ventilation quiz question
休閒農場申請程序
休閒農場申請程序
Tracheostomy decanulation
Tracheostomy decanulation
Alternative technique of intubation retromolar, retrograde, submental and oth...
Alternative technique of intubation retromolar, retrograde, submental and oth...
tip plasty.pptx
tip plasty.pptx
正確版身評胸腔
1.
2.
身體檢查與評估 - 胸腔 Physical
Assessment & Examination
3.
檢查前的準備 環境與用物 環境 安靜的環境>有助於正確地聽呼吸音 充足的光線>有助於視診的進行>自然光為佳 用物 手電筒、聽診器、標示筆、尺
4.
檢查步驟 一、視診 - 離個案一公尺 I.胸廓形狀 II.呼吸型態 III.皮膚 二、觸診 三、叩診 四、聽診
5.
一、視診 I.胸廓形狀 (thoacic configuration) 脊柱的曲度 肋骨斜度 肋緣角 前後徑與左右徑之比例 兩側肩胛骨與呼吸運動的對稱性
6.
一、視診 II.呼吸型態 觀察: 1.呼吸速率、深度、節律 2.呼吸時使用的姿勢及舒適程度 3.(呼吸時)是否使用呼吸輔助肌 4.(呼吸時)肋間肌是否突起或凹陷
7.
一、視診 III.皮膚 觀察: 1.顏色 2.是否乾燥 3.是否盜汗 4.是否有傷疤組織 5.是否有杵狀指
8.
檢查步驟 一、視診 - 離個案一公尺 二、觸診 I.皮膚與皮下組織 II.胸廓膨脹 III.觸覺震顫 IV.氣管的位置 三、叩診 四、聽診
9.
二、觸診 I.皮膚與皮下組織 觸診: 1.溫度 2.膨脹度 3.結構 4.是否有壓痛或腫塊
10.
二、觸診 II.胸廓膨脹 又稱呼吸離軌度(respiratory excursion)
11.
二、觸診 III.觸覺震顫 檢查者令個案說 : "阿~~~~~" 用手指基部的掌面(the
hall of the hand) 一手觸診可以使準確性達到最大
12.
二、觸診 IV.氣管的位置 了解氣管是否有偏移現象 檢查者將一手指置於氣管上,後此手指向左右兩 邊側移,以辨認三角區域是否相等
13.
檢查步驟 一、視診 - 離個案一公尺 二、觸診 三、叩診 I.叩診後胸 II.叩診前胸 III.橫膈膜離軌度 四、聽診
14.
三、叩診 I.叩診後胸 叩診時,須經過每一肩部頂端及其內側,以辨認 肺尖上大約5公分的反響帶,然後,當個案的雙 手抱胸,以約5公分間隔延胸壁向下叩擊肺臟兩 側,在肩胛骨以下除了沿兩外側對稱部位叩擊外, 也要叩擊內側
15.
三、叩診 I.叩診前胸 方法: 由上往下包括上鎖骨區及下鎖骨區,以5公分的間 隔由胸壁往下檢查 辨別: 由叩音的變化可以辨識肝濁音的上緣及胃部股音
16.
三、叩診 III.橫膈膜離軌度(diaphragmatic exursion) 目的:測量肺臟的容積、橫膈膜的功能 方法:叩診後胸 先讓個案正常呼、吸氣,再深吸氣後閉氣不動; 再讓個案正常呼、吸氣,在吐氣吐完閉氣不動; 以上兩動作後由肩胛骨下角以叩擊的方式垂直往下 並且聽到反響音變成濁音時坐下記號。 兩記號之差距及是所求。
17.
檢查步驟 一、視診 - 離個案一公尺 二、觸診 三、叩診 四、聽診 I.呼吸音 II.異常呼吸音 III.語音
18.
四、聽診 I.呼吸音 解釋: 是因為氣流通過氣管樹所產生的聲音 分析: 強度、音調 吸氣和呼氣持續時間及性質
19.
四、聽診 II.異常呼吸音 解釋: 不是指"正常呼吸音"改變,而是指"額外的聲音" EX: 囉音(rackles)、鼾音(rhonchi)、喘鳴聲(wheeze)、 摩擦音(frictiion rubs)
20.
四、聽診 III.語音 通常是在"觸覺震顫"、"叩診"或"聽診"有異常發 現時,才需要執行 語音產生的機轉同於觸覺震顫,不同之處在於與 音的測試需用聽診器。 EX:支氣管語響(bronchpphony)、 羊音語響(egophohy)、 耳語樣胸語響(whispered pectoriloquy)
Download now