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在听诊中,怎样区别支气管炎、肺炎和自发性气胸? 支气管炎是气管粘膜本身的炎性肿胀、充血,继则萎缩、肥厚、支气管痉挛或狭窄,粘膜表面上有粘性分泌物或脓性分泌物。听诊时表现呼吸音粗糙。喘息和哮鸣音,可有咝咝样干性罗音或水泡音,呼吸音两侧对称,除并发肺气肿外呼吸音不降低,支气管语音正常。肺炎系肺泡实质性炎症,肺泡壁因充血水肿而增厚,肺泡充满了炎性渗出物,在听诊时虽也有呼吸音粗糙,但主要为中、细湿性罗音。以背部两侧下方及病灶侧较多,在深吸气末更为明显,呼吸
In the auscultation, how to distinguish between bronchitis, pneumonia and spontaneous pneumothorax? Bronchitis is the inflammatory swelling of the tracheal mucosa itself, congestion, followed by atrophy, hypertrophy, bronchospasm or stenosis, viscous secretions on the mucosal surface or purulent secretion Things. Auscultation breathing sound rough performance. Breathing and wheezing, there may be dry like rashes or blisters sound, symmetrical breath sounds, in addition to concurrent emphysema, no reduction in respiratory sounds, normal bronchial voice. Department of pneumonia is a substantial inflammation of the alveoli, alveolar wall thickening due to congestion and edema, alveoli filled with inflammatory exudate, although there are auscultation of respiratory sounds rough, but mainly in the fine wet rales. To both sides of the back and lesion side more, at the end of the deep inspiratory more obvious, breathing