Nyob rau hauv soj ntsuam xyaum, tej kev pab kho mob ua ntej kev txawj uas ib tug kws kho mob soj ntsuam qhov kev tus neeg mob tus mob thiab txiav txim seb ib yam ua ntej tus mob yog tshwm sim nug thiab kev xeem, raws li zoo raws li ntxaws nyob rau txhua txhua system ntawm lub cev, auscultation ntawm lub plawv thiab lub ntsws, palpation thiab percussion. Qhov no yog tshwj xeeb tshaj yog muaj tseeb kev kho mob li, uas rau txhua tus neeg mob yog faib sij hawm tsawg heev, thiab yog hais tias nws los urgently, ces ib tug ob peb feeb. Yog li ntawd feem ntau ib tug zoo cov tsos mob Shchetkina-Blumberg rau kev tshawb nrhiav tus neeg mob lub tsos mob ntawm peritonitis thiab hloov nws sai sai rau lub phais department. Nyob rau hauv lub palpation txheej txheem txawv ces dag thiab sib sib zog nqus, uas ncaj qha ntsuam xyuas hauv lub xeev ntawm hauv nruab nrog cev. Nws thov cov txheej txheem no mas puas kab mob ntawm tus mob huam thiab mob txeeb zig, plab cheeb tsam feem ntau suited rau xws li ib tug uas tsis yog-tus, tab sis feem ntau heev, kev tshawb fawb.
Ib txhia hom kev kawm palpation
Piv txwv li, ib tug ntawm lub ntsiab txoj kev yog cov tsos mob-Shchetkina Blumberg, Kera, Murphy, Chauffard, Mayo-Robson, thiab ib co diaphragmatic projecting mus rau lub zoo ntawm lub sternocleidomastoid nqaij mus rau lub clavicle. Cov hom kev kawm qhia rhiab ntawm cov ntsiab lus, uas yog manifested nyob rau hauv tus neeg cov kab mob. Yog li ntawd feem ntau muaj yog ib tug zoo cov tsos mob Shchetkina-Blumberg hnyuv tws, peritonitis cua ntsawj ntshab, perforation ntawm hollow kabmob; Kera thiab Murphy - inflammatory kab mob ntawm lub gallbladder thiab nws cov kev paths. Ib tug mob nyob rau hauv cov ntsiab lus Chauffard thiab Mayo-Robson (projection lub taub hau thiab tus Tsov tus tw ntawm lub pancreas) hais tias mob theem ntawm pancreatitis. Txawm li cas los, qhov tseem ceeb ntawm no yog, tej zaum, nws yog ib cov tsos mob ntawm Shchetkina-Blumberg, vim hais tias nws zoo variant qhia peritoneal voos interoceptors, yog li - rau sab hauv los ntshav los yog muab faib rau ntawm no yooj yim serosa ntawm lub inflammatory txheej txheem nrog rau lub cev ntawm lub plab kab noj hniav. Thiab lub xeev no nyob rau hauv txhua rooj plaub yog ib qho xwm ceev.
A cov tsos mob ntawm voos ntawm cov peritoneum
Yuav kom zoo zoo saib tus mob Shchetkina-Blumberg nyob rau hauv tus neeg mob yuav tsum tau muab tus txhuam bent nyob rau hauv lub interphalangeal pob qij txha ntawm qhov teeb meem no (raws li yog hais tuav nyob rau hauv nws txhais tes ib tug me me pob) thiab tuav peb ua hauj lwm cov ntiv tes (index, nruab nrab thiab ntiv nplhaib) mus rau lub plab mog. Ces hais kom tus neeg mob mus coj ib tug sib sib zog nqus pa (lub sij hawm no koj yuav tau sau ib daim tawv nqaij quav thiab rub nws down), tshuab pa (mus tob zuj zus koj ntiv tes rau ntawm lub 3-4 cm), thiab lawv sharply neej phem. Zoo tsos mob Shchetkina-Blumberg xam tau tias yog yog hais tias tus kawg ua los ntawm kev rhiab nyob rau hauv cov cheeb tsam no tsub kom sharply. Nws kuj yuav tsis zoo thiab doubtful. Feem ntau cov feem ntau ib daim tshev yog ua yog hais tias tus neeg mob tuaj txog nyob rau hauv lub chav xwm txheej ceev los yog lub tsev kho mob nrog mob plab mog syndrome thiab yws txog lub sij hawm ntev hnyav mob. Feem ntau cov feem ntau, tus mob Shchetkina-Blumberg zoo ntawm cov cua ntsawj ntshab peritonitis thiab hnyuv tws. Nyob rau hauv rooj plaub rau tus neeg mob yog hloov dua siab tshiab rau hauv ntxiv phais rau cov kws txawj twb clarified qhov ua rau ntawm tus yam ntxwv ces.