气囊气囊肺泡肺泡细支气管细支气管支气管支气管气管气管大叶性肺炎大叶性肺炎叩浊音浊音清音听捻发音支气管呼吸音湿罗音Crepitation bronchiorepiratory sound moist rales Dullness vocal fremitus hyperresonance慢性支气管炎慢性支气管炎慢性阻塞性肺气肿慢性阻塞性肺气肿Chronic Obstructive Pulmonary DiseaseCOPD肺下界下移、移动度减小心浊音界缩小或消失肝浊音界下移听散在干、湿罗音 呼吸音减弱呼气音延长n3 3、体征:、体征:气管向对侧移位(气管向对侧移位(contralateral shift of the trachea)胸部饱满胸部饱满(bulging of the intercostal spaces)语颤减弱语颤减弱(decreased tactile fremitus)叩呈过清音或鼓音叩呈过清音或鼓音(hyperresonance)呼吸音减弱呼吸音减弱(diminushed breathe sounds )肺不张肺不张