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在触诊肝脏时,斯特拉耶斯科院士要求遵守其他腹内脏器触诊时的同样的规则。触诊腹内脏器,需要在腹腔内压力最弱的时候施行。手指要对脏器边缘作垂直的角度来触诊,所以应该先研究肝脏边缘的方向,这一方向是随着脏器本身的构造上的特殊细节和病理上的变态而变化的。最後,要會很好的利用膈肌在呼吸时的活动性,因为当膈肌活动时肝脏的位置经常跟着变动。普通触诊腹内脏器时,病人是在卧位,但是斯特拉耶斯科院士认为在触诊肝脏时,病人应该
When palpating the liver, Dr. Strajellsi demanded to follow the same rules used when palpation of other abdominal organs. Palpation of intra-abdominal organs, need to be performed when the intra-abdominal pressure is the weakest. The finger should be palpated perpendicularly to the edge of the organ so the direction of the edge of the liver should be studied first. This orientation changes with the structural details and pathological abnormalities of the organ itself. Finally, it is important to take advantage of the diaphragm’s breathing activity, as the liver’s position often changes as the diaphragm moves. When the general abdominal palpation of abdominal internal organs, the patient is lying, but Strajewski that the palpation of the liver, the patient should