NEJM:下肢动脉触诊的手法,你不一定做得对

2018-06-03 杨中华 脑血管病及重症文献导读

2018年5月来自伦敦的Peter Gogalniceanu等在NEJM上发表了文章《下肢外周动脉病的临床评价》。神经内科特别是介入术后往往需要评价下肢动脉的搏动,现将下肢动脉触诊的手法摘录如下,供神经科/介入科医生参考

2018年5月来自伦敦的Peter Gogalniceanu等在NEJM上发表了文章《下肢外周动脉病的临床评价》。神经内科特别是介入术后往往需要评价下肢动脉的搏动,现将下肢动脉触诊的手法摘录如下,供神经科/介入科医生参考:

1.主动脉

在脐附近偏左侧双手触诊主动脉搏动:



2.股总动脉

在腹股沟皱褶中点触诊股总动脉:



3.腘动脉

患者膝部轻微屈曲并放松,检查者拇指放在胫骨窿突,双手的食指和中指深按腘窝:



4.足背动脉

让患者大拇趾向上背屈,食指和中指触摸拇长伸肌腱外侧:



5.胫骨后动脉

触摸内踝后部:



搏动强度分级:无搏动0,减弱1+,正常2+,反跳(bounding)

原始出处:

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1952198, encodeId=d21d19521981e, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Tue Jan 15 14:50:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327951, encodeId=12d732e95115, content=规范体格检查方法是正确诊断的基础, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a5a12076726, createdName=1561f14951m, createdTime=Fri Jun 29 11:21:41 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327466, encodeId=18ab32e4669a, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ddc09637, createdName=kan1986, createdTime=Wed Jun 27 15:58:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322452, encodeId=db1a32245255, content=确实不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/08/18aa48af4ddeaed1ee674c7b4f355ef4.jpg, createdBy=618e2376215, createdName=wushi1987, createdTime=Fri Jun 08 09:06:19 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321315, encodeId=aa5f3213154f, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon Jun 04 06:59:42 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321101, encodeId=331a321101d8, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Sun Jun 03 09:46:08 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321089, encodeId=98df321089b8, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Jun 03 09:12:21 CST 2018, time=2018-06-03, status=1, ipAttribution=)]
    2018-06-29 1561f14951m

    规范体格检查方法是正确诊断的基础

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1952198, encodeId=d21d19521981e, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Tue Jan 15 14:50:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327951, encodeId=12d732e95115, content=规范体格检查方法是正确诊断的基础, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a5a12076726, createdName=1561f14951m, createdTime=Fri Jun 29 11:21:41 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327466, encodeId=18ab32e4669a, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ddc09637, createdName=kan1986, createdTime=Wed Jun 27 15:58:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322452, encodeId=db1a32245255, content=确实不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/08/18aa48af4ddeaed1ee674c7b4f355ef4.jpg, createdBy=618e2376215, createdName=wushi1987, createdTime=Fri Jun 08 09:06:19 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321315, encodeId=aa5f3213154f, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon Jun 04 06:59:42 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321101, encodeId=331a321101d8, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Sun Jun 03 09:46:08 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321089, encodeId=98df321089b8, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Jun 03 09:12:21 CST 2018, time=2018-06-03, status=1, ipAttribution=)]
    2018-06-27 kan1986

    学习了.谢谢分享!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1952198, encodeId=d21d19521981e, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Tue Jan 15 14:50:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327951, encodeId=12d732e95115, content=规范体格检查方法是正确诊断的基础, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a5a12076726, createdName=1561f14951m, createdTime=Fri Jun 29 11:21:41 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327466, encodeId=18ab32e4669a, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ddc09637, createdName=kan1986, createdTime=Wed Jun 27 15:58:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322452, encodeId=db1a32245255, content=确实不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/08/18aa48af4ddeaed1ee674c7b4f355ef4.jpg, createdBy=618e2376215, createdName=wushi1987, createdTime=Fri Jun 08 09:06:19 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321315, encodeId=aa5f3213154f, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon Jun 04 06:59:42 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321101, encodeId=331a321101d8, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Sun Jun 03 09:46:08 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321089, encodeId=98df321089b8, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Jun 03 09:12:21 CST 2018, time=2018-06-03, status=1, ipAttribution=)]
    2018-06-08 wushi1987

    确实不错

    0

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    2018-06-04 张新亮1853311252142e2fm

    好文献学习了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1952198, encodeId=d21d19521981e, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Tue Jan 15 14:50:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327951, encodeId=12d732e95115, content=规范体格检查方法是正确诊断的基础, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a5a12076726, createdName=1561f14951m, createdTime=Fri Jun 29 11:21:41 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327466, encodeId=18ab32e4669a, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ddc09637, createdName=kan1986, createdTime=Wed Jun 27 15:58:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322452, encodeId=db1a32245255, content=确实不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/08/18aa48af4ddeaed1ee674c7b4f355ef4.jpg, createdBy=618e2376215, createdName=wushi1987, createdTime=Fri Jun 08 09:06:19 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321315, encodeId=aa5f3213154f, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon Jun 04 06:59:42 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321101, encodeId=331a321101d8, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Sun Jun 03 09:46:08 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321089, encodeId=98df321089b8, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Jun 03 09:12:21 CST 2018, time=2018-06-03, status=1, ipAttribution=)]
    2018-06-03 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1952198, encodeId=d21d19521981e, content=<a href='/topic/show?id=839420169e5' target=_blank style='color:#2F92EE;'>#下肢动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20169, encryptionId=839420169e5, topicName=下肢动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=83a4244, createdName=swallow, createdTime=Tue Jan 15 14:50:00 CST 2019, time=2019-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327951, encodeId=12d732e95115, content=规范体格检查方法是正确诊断的基础, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a5a12076726, createdName=1561f14951m, createdTime=Fri Jun 29 11:21:41 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327466, encodeId=18ab32e4669a, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ddc09637, createdName=kan1986, createdTime=Wed Jun 27 15:58:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=322452, encodeId=db1a32245255, content=确实不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/08/18aa48af4ddeaed1ee674c7b4f355ef4.jpg, createdBy=618e2376215, createdName=wushi1987, createdTime=Fri Jun 08 09:06:19 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321315, encodeId=aa5f3213154f, content=好文献学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Mon Jun 04 06:59:42 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321101, encodeId=331a321101d8, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Sun Jun 03 09:46:08 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321089, encodeId=98df321089b8, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Jun 03 09:12:21 CST 2018, time=2018-06-03, status=1, ipAttribution=)]
    2018-06-03 明月清辉

    谢谢分享.学习了

    0