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胆囊炎的触诊通常以莫斐(Murphy)征阳性为胆囊炎的诊断依据,但约有半数以上的轻度胆囊炎患者莫斐征呈阴性,而在其右肩胛岗的中点与其右肩胛下角联线的中点有压痛,是为胆_1压痛点,在胆_1压痛点之上、下、左、右各1cm处有压痛,则为胆_2副压痛点,此胆_1胆_2副压痛点之阳性率可达80%~85%,胆_1压痛点与祖国医学的胆囊穴位相吻合,胆_2副压痛点则为胆囊炎的神经反射区。临床触诊时,有仅胆_1阳性或仅1~4个胆,副压痛点阳性者,也有此5个压痛点均呈阳性者。根据压痛的轻重程度可区分为轻度(+),压稍加重即有痛感为(++),轻按之即压痛明显(+++)。(+++)者作B超探查或CT
The palpation of cholecystitis is usually based on the diagnosis of cholecystitis with positive signs of Murphy, but more than half of patients with mild cholecystitis have negative Mofei signs, whereas at the midpoint of their right shoulder blades, with their right shoulder blades Bottom line of the midpoint of tenderness, is a tenderness for gallbladder _1 point, above the gallbladder _1 tenderness points, the left and right 1cm at the tenderness, then the gallbladder _2 tender point, the gall _1 Gallbladder _2 points positive rate of the tender point of up to 80% to 85%, gallbladar _1 tenderness points and the mother of medicine gallbladder point coincide, bile _2 tender point for the reflex of the area of cholecystitis. Clinical palpation, there is only gallbladder _1 positive or only 1 to 4 gallbladder, deputy tenderness points were positive, there are five tender points were positive. According to the severity of tenderness can be divided into mild (+), slightly increased pressure that is pain (++), gently press the tenderness (+++). (+++) for B-scan or CT