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小儿肝脏的大小有一个特点,那就是因年龄大小可有不同;还应强调检查肝脏时应有固定的部位,即以右侧锁骨中线线上,右肋缘下方为标准。所谓锁骨中线是从锁骨的中点向下划线,一直延伸到肋缘下端的直线。新生儿至1岁的婴幼儿在右肋缘下可摸到肝脏1~3厘米;3岁以内为1~2厘米;4岁以后一般在右肋缘下不易摸到肝脏,仅有少数小儿能触到肝脏,也应在1厘米以内;而7岁以上的孩子在右肋缘下就不应摸到肝脏了。因此,对孩子的“肝大”必须进行具体分析,不能一概而论,也就是说必须参考不同年龄组肝脏大小的正常标准,才
Pediatric liver size has a characteristic, that is, due to age may be different; should also emphasize the liver should be checked when there is a fixed site, that is, the right side of the midline of the clavicle, right under the flange as the standard. The so-called clavicular midline is from the midpoint of the clavicle downward, has been extended to the lower edge of the straight line. Neonates to 1-year-old infants under the right costal margin can be found in the liver 1 to 3 cm; within 3 years of 1 to 2 cm; after 4 years of age generally not easy to touch the right rib margin of the liver, only a small number of children can Touch the liver, should be less than 1 cm; and children over the age of 7 should not be found under the right flank of the liver. Therefore, the child “liver ” must be analyzed in detail, can not be generalized, that is, we must refer to the normal age of liver size of different age groups, only