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发布者:鑫达医学翻译 发布时间:2013-05-13 8:50:52 阅读:

原文:
呼吸动度一致,双侧语颤对称,未触及胸膜摩擦感。双肺叩诊清音,肺下界位于右锁骨中线第VI肋 间,右侧腋中线VIII肋间,右侧肩胛下角第X肋间,肺底移动度6cm。双肺呼吸音清, 双肺未闻及明显干湿性啰音及胸膜摩擦音。心前区无隆起,心尖搏动位于第V肋间左锁骨 中线内0.5cm,未见异常搏动,未闻及震颤,未闻及心包摩擦感,心界不大,心率78次/ 分,心律齐,P2 <A2,各瓣膜听诊区未闻及杂音及心包摩擦音,未见异常血管征。腹部平 坦,未见胃、肠型及蠕动波,未见腹壁静脉曲张,腹软,无压痛、反跳痛及肌紧张,未及 包块,Murphy征(-),肝脾肋下未及,肝区肾区无叩痛,腹部叩诊鼓音,移动性浊音( -)。肠鸣音3次/分。脊柱四肢无畸形,关节无红肿及压痛,双下肢无水肿。双侧膝腱反 射对称引出,双侧Babinski征㈠。肛门及外生殖器未查。


译文:
The breathing movements were accordant; the bilateral vocal fremitus were symmetric; no sense of pleural friction was observed. Both lungs were clear when percussion; the inferior boundary of lung was at the level of the VI interspace in the right midclavicular line, the level of the VIII interspace in the right midaxillary line and the level of the X interspace in the right inferior angle of scapula; the degree of excursion of the base of lung was 6cm. The breath sounds of both lungs were clear, and no significant dry or moist rales or pleuritic rub was auscultated in either lung. No precordial prominence was observed; the apieal impulse was at the level of the V interspace and 0.5cm away from the left mid-clavicular line; no abnormal pulsation, tremor or sense of pericardial friction was observed; the heart boundary was not big; the heart rhythm was regular (HR = 78bpm); no murmur or pericardial friction sound was auscultated in each auscultatory valve area and no abnormal vascular sign observed. The abdomen was flat, and no gastrointestinal type, peristaltic wave, or subcutaneous varicose vein of abdominal wall was observed; the abdomen was soft, without tenderness or rebound tenderness, muscle tension, or mass; Murphy sign was (-); the liver and spleen were not palpable under the costal margins; the renal and hepatic regions were not sensitive to percussion; percussive tympany was observed in the abdomen; and shifting dullness was (-). Bowel sound frequency was 3 times/minute. No abnormality was observed in the trunk or four limbs; no red swelling or tenderness was observed in the joints; and no edema was observed in either lower extremity. Bilateral knee jerk reflexes were symmetric and positive, and bilateral Babinski signs were (-). Anus and external genitalia were not examined.


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