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src="http://thedailypurge.net/images/24homePage/column-yishizige/icon_29.png" class="ibList-pic" title="醫(yī)學(xué)教育網(wǎng)微博"><p class="ibList-txt">微博</p></a> </div> </div> </div> </li> </ul> </div> </div>   <div id="9pqc49u" class="crumbs-wrap layout">當(dāng)前位置：<a href='/' target='_self'>醫(yī)學(xué)教育網(wǎng)</a> > <a href='/neikezhuzhiyishi/'>內(nèi)/外/婦/兒/全科主治</a> > <a href='/neikezhuzhiyishi/fudaoziliao/'>輔導(dǎo)精華</a></div>  <div id="pwipzdx" class="layout clearfix">  <div id="g54ziwl" class="main-left clearfix">     <div id="o5s5mgq" class="news_mian"> <h1>內(nèi)科要點(diǎn)：體格檢查-胸部異常叩診音-濁音或?qū)嵰?、鼓?/h1> <div id="gh8t5k4" class="mark"> <div id="ooaptda" class="lTxt"> <span id="kqrw8o4" class="time">2023-06-29 14:18</span> <span id="iz5bkue" class="source">來源：<a href="http://thedailypurge.net" title="醫(yī)學(xué)教育網(wǎng)">醫(yī)學(xué)教育網(wǎng)</a></span> </div>  <a href="javascript:void(0);" target="_self" class="print" onclick="javascript:window.print()">打印</a> <div id="p89odns" class="font_size">字體：<a href="javascript:void(0);" target="_self" class="big">大</a><a href="javascript:void(0);" target="_self" class="small">小</a></div> </div> </div>   <div id="lyafyjj" class="news_con"> <div id="skqfzjy" class="jxbox clearfix"> <p style="text-align: left;">所有汗水都有收獲，所有努力都不被辜負(fù)。為了幫助各位2024年內(nèi)科主治醫(yī)師考生順利復(fù)習(xí)，醫(yī)學(xué)教育網(wǎng)為大家整理“體格檢查-胸部異常叩診音-濁音或?qū)嵰簟⒐囊簟比缦拢?/p><p style="text-align: left;">正常肺的清音區(qū)范圍內(nèi)，如出現(xiàn)濁音、實(shí)音、過清音或鼓音時(shí)則為異常叩診音。</p><p style="text-align: left;">濁音或?qū)嵰簦悍尾看竺娣e含氣量減少的病變，如肺炎、肺不張、肺腫瘤等；胸腔積液（實(shí)音）或胸膜增厚等病變。</p><p style="text-align: left;">鼓音：肺內(nèi)空腔性病變?nèi)缙淝粡酱笥?～4cm，且靠近胸壁時(shí)，如空洞型<a href="http://thedailypurge.net/jibing/feijiehe/" target="_blank" title="肺結(jié)核" class="hotLink">肺結(jié)核</a>、液化肺膿腫和肺囊腫等，胸膜腔積氣、<a href="http://thedailypurge.net/jibing/qixiong/" target="_blank" title="氣胸" class="hotLink">氣胸</a>。</p><p style="text-align: left;"><strong>經(jīng)典例題：</strong></p><p style="text-align: left;">患者女性，68歲。被車撞1小時(shí)入院。胸部受傷。查體：肺部叩診有實(shí)音和鼓音。患者的診斷可能是</p><p style="text-align: left;">A.血胸</p><p style="text-align: left;">B.血<a href="http://thedailypurge.net/jibing/qixiong/" target="_blank" title="氣胸" class="hotLink">氣胸</a></p><p style="text-align: left;">C.<a href="http://thedailypurge.net/jibing/feiqizhong/" target="_blank" title="肺氣腫" class="hotLink">肺氣腫</a></p><p style="text-align: left;">D.<a href="http://thedailypurge.net/jibing/qixiong/" target="_blank" title="氣胸" class="hotLink">氣胸</a></p><p style="text-align: left;">E.肺不張</p><p style="text-align: left;">【正確答案】 B</p><p style="text-align: left;">【答案解析】實(shí)音和鼓音并存，考慮為血<a href="http://thedailypurge.net/jibing/qixiong/" target="_blank" title="氣胸" class="hotLink">氣胸</a>。</p><p style="text-align: left;">2024年內(nèi)科主治醫(yī)師新考期已經(jīng)來啦！為了幫助大家順利復(fù)習(xí)，醫(yī)學(xué)教育網(wǎng)推出3大輔導(dǎo)班次，專業(yè)師資授課，分階段教學(xué)，滿足不同需求考生！心動不如行動，快去選購吧！<a href="http://thedailypurge.net/webhtml/project/neikexuezhuzhiyishi.htm" target="_blank" textvalue="去了解課程>">去了解課程></a></p><p style="text-align:center"><a href="http://thedailypurge.net/webhtml/project/neikexuezhuzhiyishi.htm" target="_blank"><img src="/upload/resources/image/2023/04/24/714366.png?1682318251669" title="m站-新版輔導(dǎo)首頁-輪換圖" alt="m站-新版輔導(dǎo)首頁-輪換圖" suffix="png" style="max-width: 100%;"/></a></p> </div> </div>   <div id="ofrwkue" class="share new-share clearfix"> <div id="9zap35u" class="info-share-new fl"> <div id="xvwgpty" class="snltxt fl">分享到：</div> <div id="ktkpiii" class="fl" id="share-2020" data-sites="wechat, qzone, weibo, qq"></div> </div> </div>   <p><img src="http://thedailypurge.net/upload/resources/image/2024/08/18/814222.jpg" alt="臨床醫(yī)學(xué)主治醫(yī)師題庫"></p>   <div id="xqhwe49" class="left-information clearfix"> <div id="5gg9pku" class="tit"> <div id="lt9yt8k" class="tit-left">相關(guān)資訊</div> </div> <ul> <li>· <a href="/neikezhuzhiyishi/dagang/ga2411193127.shtml" target="_blank" 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