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本文报道颈部杂音之种类、意义以及对处理的意见。 1.颈静脉杂音静脉杂音呈持续性,通常位于胸锁乳突肌前缘锁骨内侧端之上。根据Fowler和Gause的估计,在75％的儿童和年青人中可以听到静脉杂音。当被检查者取坐位时,杂音较响亮,把被检者的头转向听诊的对侧,可诱发杂音或使之音调变高。Valsalva’s检查法(让被检者用力呼气,然后屏住气,使肺内压升高)可使杂音消失,用大拇指压在颈静脉上,也能使杂音消失,在95％的儿童,使之躺下时,能使杂音消
This article reports on the types, meanings, and opinions of the neck murmurs. 1. Jugular murmur venous noise was persistent, usually located in the sternocleidomastoid front edge of the medial clavicle above. According to estimates by Fowler and Gause, venous murmurs can be heard in 75% of children and young adults. When the examinee takes the seat, the noise is louder and the head of the examinee turns to the opposite side of the auscultation, which may induce a noise or make the pitch higher. Valsalva’s test (which allows the examinee to exhale vigorously and then holds the gas in and out of the lungs) will silence the murmur, compressing the jugular vein with his thumb and making murmurs disappear. In 95% of children, When you lie down, you can silence it