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Old 08-15-2011, 05:26 PM   #1
fuib16934
 
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Default 由手辨病

手足搐搦症 低血钙时,手足肌肉可发生紧张性痉挛。手腕部呈屈曲状,五指伸展,指掌关节屈曲,拇指内收靠近掌心,并与小 拇指相对。如扎紧前臂,三五分钟后可诱发,称“缺钙束臂试验阳性”,有助于该病的诊断。
鹰爪手 手干瘦尖细,手指关节弯曲固定好似鹰爪,见于尺神经或正中神经损伤。脊髓空洞症、进行性肌营养不良、麻风病 等。
肝掌 手掌毛细血管扩张,充血发红,尤以指端皮肤表现更为突出,称为“肝掌”。这是由于肝功能减退,不能破坏体内 的雌激素所致。常见于肝硬化、肝癌等病。
指节畸形 类风湿关节炎者,指关节可呈梭状畸形,活动受限,发作时红肿,疼痛加剧;此类指关节变形,盟特新奇特,也可见于老年性骨关节病。但多发生于远指间关节,病变部位有坚硬的结节;尿酸代谢异常引起的痛风病,可在 关节处摸到“痛风石”并引起关节变形。
杵状指 指节末端明显增生,呈鼓槌状,多发生于慢性肺部疾病,光波炉原理,先天性心脏病等.与肢端长期缺氧,代谢障碍有关。
匙状指 又称“反甲”,指甲下凹,边缘翘起,表面粗糙,像个“小匙”多见于缺铁性贫血,偶见于风湿热。
手指震颤 两手抖动,不能作精细工作,光波炉,细震颤常见于甲亢症;中震颤见于情绪激动,惊吓、剧烈运动、饮酒过量、神经衰弱、老人震颤麻痹等;租震颤 主要见于慢性酒精中毒。
指甲变色 正常人指甲光滑,半透明,呈粉红色:甲床苍白见于贫血;灰白,粗糙、失去光泽,见于甲癣或营养不良:指甲变 黄,可见长期吸烟者或黄疸病人;甲下出血可见发红;缺血缺氧,如先天性心脏病,指甲呈暗紫色;服用某些药物 可变蓝;陈旧出血,黑包素瘤等指甲可变黑;用放大镜观察甲床下毛细血管变化.可以了解微循环情况,对早期发 现休克病人很有意义。
望手诊病,简单易行,只要留心,能知安危,及时治疗,光波炉价格,早日康复。
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