百达医学网

 找回密码
 我要注册

QQ登录

只需一步,快速开始

卫生管理职称手机题库卫生职称精准资料高级职称题库及白皮书实验保过课堂,一次过!
淘精准资料书籍双百实验,给自己过关机会医学高级职称题库庆祝,百达开通北医服务专区
查看: 4219|回复: 3
收起左侧

[辅导资料] 2011年技能操作超级背诵

[复制链接]
发表于 2011-6-7 18:52:59 | 显示全部楼层 |阅读模式

马上注册,登陆找组织啦,您不是一个人在战斗,欢迎加入医务人员大家庭,这里有才华横溢医学院教授,也有妙手回春杏林高手,也有踌躇满志医界公仆。我们与您一起攀登医界最高峰,因真理得自由以服务。如果您是专家能人加qq395063096获取特别邀请。

您需要 登录 才可以下载或查看,没有账号?我要注册

x

技能操作超级背诵


一、西医操作-
1、请演示锁骨上淋巴结的触诊?-
答:检查锁骨上淋巴结时,让被检者取坐位或卧位,头部稍向前屈,用双手进行触诊,左手触诊右侧,右手触诊左侧,由浅部逐渐触摸至锁骨后深部。-
2、请演示墨菲征(Murphy)的检查方法,并指出阳性的临床意义? -
答:医师以人手掌平放于患者右肋下部,以拇指腹勾压于右肋下胆囊点处,然后嘱患者缓慢深吸气。在吸气过程中发炎的胆囊下移时碰到用力按压的拇指,即可引起疼痛,此为胆囊触痛,如因剧烈疼痛而致吸气终止(不敢继续吸气)称Murphy征阳性。-
3、请检查触觉语颤的检查?-
答:检查者将左右手掌的尺侧缘轻放于两侧胸壁的对称部位,然后嘱被检查者用同等的强度重复发“yi”长音,自上至下,从内到外比较两侧相应部位语音震颤的异常,注意有无增强或减弱。-
4、请演示对光反射检查?-
答: A、直接对光反射:右手持手电筒,光源自外侧迅速移向瞳孔,同时观察同侧瞳孔有无立即缩小,移开光源后瞳孔有无迅速复原。先检查左侧,然后以同样方法检查右侧。B、间接对光反射:右手持手电筒,左手隔开两眼,光源自外侧移向瞳孔,同时观察对侧瞳孔受检者有无立即缩小,移开光源瞳孔有无迅速复原。先检查左侧,然后以同样方法检查右侧。-
5、请演示肺部的间接叩诊?-
答:间接叩诊 - 手指动作、方法、顺序正确。-
①以左中指的第一、二节作为叩诊板指,平紧贴于叩击部位表面,右手中指以右腕关节和指掌关节活动叩击左手中指第二指骨的前端或第一、第二之间的指关节。-
②顺序正确:首先检查前胸,由锁骨上窝开始,自第一肋间隙从上至下逐一肋间隙进行叩诊,其次检查侧胸壁,嘱被检查者举起上臂置于头部,自腋窝开始向下叩诊至肋缘。最后叩诊背部,嘱被检查者向前稍低头,双手交叉抱肘,自上至下进行叩诊,叩诊时应左右、上下、内外对比叩音的变化。-
6、请演示肺部的直接叩诊?-
答:检查者用中指掌侧或将手指并拢以其指尖对被检查者胸壁进行叩击。-
7、请演示肺部听诊并说出听诊肺部的内容? -
①听诊方法:嘱受检者微张口,稍做深呼吸,注意每个部位听诊1~2个呼吸周期。②听诊顺序:一般由肺尖开始,自上而下,从外向内,从左向右,由前胸到侧胸及背部(部位同叩诊,前胸、侧胸在每个肋间,至少应听诊3个部位,后胸每个肋间至少2个部位),左右对称部位进行对比听诊。③呼吸音:A.支气管呼吸音:正常人在喉部、胸骨上窝和背部第6、7颈椎及第1、2胸椎附近可听到此种呼吸音。如在其他部位听到支气管呼吸音,则为异常。B.肺泡呼吸音:正常人除了支气管呼吸音及支气管肺泡音分布部位外,其余肺部均为肺泡呼吸音。肺泡呼吸音增强,、减弱或消失,呼气音延长,呼吸音增粗均为异常。C.支气管肺泡呼吸音:此种呼吸音为支气管呼吸音与肺泡呼吸音的混合呼吸音。正常人在胸骨两侧第1、2肋间隙,肩胛间区第3、4胸椎水平以及肺尖前后部可听到此种呼吸音。如在其他部位听到支气管肺泡呼吸音则为异常。 ④啰音:是呼吸音以外的附加音。可分为干啰音和湿啰音。正常人听不到啰音。⑤语音共振:嘱受检者用一般的声音强度重复发“Yi”长音。正常可听到柔和、模糊的声音。检查时要在两侧胸部对称部位比较听诊,如发现增强、减弱则为异常。⑥胸膜摩擦音:听诊胸膜摩擦音通常部位是腋中线胸部的下部,正常人无胸膜摩擦音。-
8、请演示肝脏上界的叩诊?-
答:沿右锁骨中线,由肺区向下叩至腹部。当由清音转为浊音时即为肝上界。-
9、请演示汞柱血压计测量上肢血压的方法?-
1、血压(间接测量法)-
(1)检查血压计;关键:先检查水银柱是否在“0”点。-
(2)肘部置位正确;肘部置于心脏同一水平。-
(3)血压计气袖绑扎部位正确、松紧度适宜;气袖均匀紧贴皮肤缠于上臂,其下缘在肘窝以上约2~3cm,肱动脉表面。-
(4)胸件置于肱动脉搏动处(不能塞在气袖下)。-
技能操作超级背诵11.rar (51.49 KB, 下载次数: 1)
我信任百达,希望一次过关!学习是一种习惯,学习也是一种信仰。
发表于 2011-6-9 07:35:01 | 显示全部楼层

上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训

2011年英语四级考试备考基础阅读讲解,2011年英语四级考试答案网引领你了解2011年英语四级考试备考基础阅读讲解,
  2. 并列结构上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训
  (1) 句子和句子的并列
  由标点符号(如分号;冒号:)或连接词连接的两个简单句的句子的并列(前后出现两个实意动词)
  eg. We asked them to tell us whether each samples was Coke or Pepsi; then we analyzed the records statistically to compare the participants' choices with what mere guess-work could have accomplished.上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训
  We encourage our pupils to use the library, and we teach them the skills they need in order to do this efficiently.
  Having made a choice within th上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训ese limits we can have certain alterations made, but apart from minor adjustments, we tend to be limited to what the stores have on their racks.考试大-中国教育考试门户网站(www.233.com)
  (2) 句子成分的并列(前后出现两个相同或相似结构或成分)
  eg. He quickly found that children as young as four months would learn to turn their heads to right or left if the m上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训ovement "switched on" a display of lights-and indeed that they were capable of learning quite complex turns to bring about this result, for instance, two left or two right, or even to make as many as three turns to one side.
  Statuses are marvelous human inventions that enable us to get along with one another and to determine where we "fit" in society.
  When you come to think of it, only a woman is capable of standing in front of a wardrobe packed full of clothes and announcing sadly that she has nothing to wear.
  3. 复合句
  (1) 名词性从句
  主语从句及it形式主语上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训
  eg. So where we hear this debate is primarily in political circles and in the media-not in corporate board rooms or on college campuses.
  What the doctor at Beth Israel has in the primary nurse is a true colleague.
  But it used also to be widely believed that effective rewards, at least in the early stages, had to be directly related to such basic physiological "drives" as thirst or hunger.
  宾语从句及it形式宾语
  eg. We simply do not know yet how men are going to get on when they spend weeks and months outside the protection of the atmosphere, working in a space laboratory.
  I think it certain that in decades, not centuries, machines of silicon will arise first to rival and then exceed their human ancestors.
  表语从句
  eg. The time of day when you feel most energetic is when your cycle of body temperature is at its peak.上海六月英语四级答案QQ_15192883包过新东方搜狐教育培训
  The first time that the question "What is at the bottom of the oceans?" had to be answered with any commercial consequence was when the laying of a telegraph cable from Europe to America was proposed.
  (2) 定语从句
  that引导
我信任百达,希望一次过关!学习是一种习惯,学习也是一种信仰。
发表于 2011-10-4 12:55:38 | 显示全部楼层
我信任百达,希望一次过关!学习是一种习惯,学习也是一种信仰。
发表于 2011-10-31 12:48:54 | 显示全部楼层
我信任百达,希望一次过关!学习是一种习惯,学习也是一种信仰。
您需要登录后才可以回帖 登录 | 我要注册

本版积分规则

百达感恩节特惠大促销活动

QQ|百达医学|小黑屋|手机版|Archiver|百达医学网社区 ( 京ICP备14026141号-1公安机关备案号码:13100015310 )

GMT+8, 2026-6-10 20:21

Powered by Discuz! X3.4

Copyright © 2001-2023, Tencent Cloud.

快速回复 返回顶部 返回列表