Spleen percussion

The spleen percussion examination is an auxiliary examination method for checking whether the abdominal spleen is normal. When the spleen is not satisfied with palpation or a small spleen is touched under the left rib, the spleen should be used for further examination of the spleen size. The percussion of the spleen voiced area should be carried out by the sputum method on the left sac line. Normally, the spleen is dulled between the 9th and 11th ribs of the left middle line. The length is about 4 to 7 cm, and the front does not exceed the front line. The expansion of the spleen voiced area is seen in splenomegaly caused by various causes. The narrowing of the spleen voiced area is seen in the left pneumothorax, gastric dilatation, and flatulence. Basic Information Specialist classification: Digestive examination classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Tips: Actively cooperate with the doctor's work. Normal value Normally, the spleen is dulled between the 9th and 11th ribs of the left middle line. The length is about 4 to 7 cm, and the front does not exceed the front line. Clinical significance Abnormal result The spleen dull area changed the spleen dull area to expand and found splenomegaly caused by various reasons. Spleen dull sound area is seen in the left pneumothorax, gastric dilatation, tympanic and so on. Regular physical examination items for people who need to be examined, abnormal abdominals. High results may be diseases: precautions for hypersplenism Requirements for inspection: (1) The environment should be quiet and warm. The exposed part of the inspected person should not feel cold. The examiner's hand should be warm. (2) The examinee should maintain proper position, such as chest percussion, sitting or supine position, and abdominal supine examination often takes supine position. A small amount of ascites, the inferior or knee chest position of the inspected person. (3) Percussion should be carried out in a certain order, from top to bottom, from front to back, and on both sides, pay attention to the similarities and differences of symmetrical parts. Inspection process The method of spleen percussion: The determination of the spleen voiced area should be based on the sputum method. The patient was placed in the supine or right lateral position and the percussion was performed along the middle line of the left ankle. The normal spleen voiced area is between the left 9th to 11th ribs, and the width is about 4 to 7cm. The front does not exceed the front line. The narrowing or disappearing of the spleen voiced area is seen in the left pneumothorax, gastric dilatation, tympanic intestines, etc.; Sometimes the spleen can not be touched under the left rib, and the spleen voicing tone is enlarged, which is helpful for clinical diagnosis. Not suitable for the crowd Inappropriate people: Basically no suitable for the crowd, but people with mental disorders should pay attention.

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