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(Назад)
(Cкачать работу)äûõàíèÿ - ïðåèìóùåñòâåííî áðþøíîé.
×àñòîòà äûõàíèÿ - 16 â ìèíóòó.
Ðèòì äûõàíèÿ ïðàâèëüíûé.
Îêðóæíîñòü ãðóäíîé êëåòêè íà óðîâíå ëîïàòîê ñçàäè è
4-õ ðåáåð ñïåðåäè :
ïðè ñïîêîéíîì äûõàíèè - 95ñì,ïðè ìàêñèìàëüíîì âäîõå - 98 ñì,
ïðè ìàêñèìàëüíîì âûäîõå - 93 ñì.
Ìàêñèìàëüíàÿ äûõàòåëüíàÿ ýêñêóðñèÿ - 6 ñì.
Ïðè ïàëüïàöèè ãðóäíîé êëåòêè áîëåçíåííîñòè íå
îòìå÷àåòñÿ. Ýëàñòè÷íîñòü ãðóäíîé êëåòêè õîðîøàÿ. Ãîëîñîâîå
äðîæàíèå íå èçìåíåíî, îùóùàåòñÿ â ñèììåòðè÷íûõ ó÷àñòêàõ
ãðóäíîé êëåòêè ñ îäèíàêîâîé ñèëîé.2.2) Ïåðêóññèÿëåãêèõ.2.2.1) Ñðàâíèòåëüíàÿ ïåðêóññèÿ.Ïðè ñðàâíèòåëüíîé ïåðêóññèè â ñèììåòðè÷íûõ ó÷àñòêàõ
ãðóäíîé êëåòêè çâóê ÿñíûéëåãî÷íûé. Î÷àãîâûõ èçìåíåíèé
ïåðêóòîðíîãî çâóêà íå îòìå÷àåòñÿ.
2.2.2) Òîïîãðàôè÷åñêàÿ ïåðêóññèÿ.Âûñîòà ñîòÿíèÿ âåðõóøåê.
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ñïðàâàñëåâà
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ñïåðåäè3 ñì âûøå êëþ÷èöû3,5 ñì âûøå êëþ÷èöû
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ñçàäèíà óðîâíå îñòèñòîãî îòðîñòêà0,5 ñì âûøå óðîâíÿ
7-ãî øåéíîãî ïîçâîíêàîòðîñòêà 7-ãîøåéíîãî ïîçâîíêà
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øèðèíà ïîëåé6 ñì6 ñì
Êðåíèíãà
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Íèæíèå ãðàíèöû ëåãêèõ.
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òîïîãðàôè÷åñêèå ëèíèèñïðàâàñëåâà
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îêîëîãðóäèííàÿ5-å ìåæðåáåðüå-------
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ñðåäíåêëþ÷è÷íàÿ6-å ðåáðî------
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ïåðåäíÿÿ ïîäìûøå÷íàÿ7-å ðåáðî7-å ðåáðî
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ñðåäíÿÿ ïîäìûøå÷íàÿ8-å ðåáðî8-å ðåáðî
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çàäíÿÿ ïîäìûøå÷íàÿ9-å ðåáðî9-å ðåáðî
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ëîïàòî÷íàÿ10-å ðåáðî10-å ðåáðî
-----------------------------------------------------------------------------------------------------îêîëîïîçâîíî÷íàÿîñòèñòûé îòðîñòîêîñòèñòûé
11-ãîîòð. 11-ãî
ãðóäíîãî ïîçâîíêàãðóäíîãîïîçâîíêà
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Ïîäâèæíîñòü íèæíèõ êðàåâ ëåãêèõ.
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òîïîãð.ëèíèÿñïðàâàñëåâà
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íà âäîõå íà âûäîõå ñóììàðíî íà âäîõå íà âûäîõå ñóììàðíî
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ñðåäíåêë.224---------
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ñð. ïîäì.336336
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ëîïàòî÷íàÿ224224
----------------------------------------------------------------------------------------------------2.3) Àóñêóëüòàöèÿ ëåãêèõ.
Ïðè àóñêóëüòàöèè íàä ëåãêèìè îïðåäåëÿåòñÿ îñëàáëåííîå
âåçèêóëÿðíîå äûõàíèå.
Ïîáî÷íûå äûõàòåëüíûå øóìû (õðèïû, êðåïèòàöèÿ, øóì
òðåíèÿ ïëåâðû) íå âûñëóøèâàþòñÿ.
2.4) Ñèìïòîì "áàðàáàííûõ ïàëî÷åê" (ïàëüöû ñ êîëáîâèäíûìè
óòîëùåíèÿìè íîãòåâûõ ôàëàíã) îòðèöàòåëüíûé.
Ñèìïòîì óñèëåíèÿ áðîíõîôîíèè
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