Die Lungenauskultation – Erkenntnisse und Irrtümer

Zusammenfassung

Die Lungenauskultation ist der wichtigste Teil der pulmonalen Untersuchung. Neben der Anamnese ist sie das Kernstück des diagnostischen Prozesses bei der pneumologischen Erstbeurteilung. In Notfallsituationen können dadurch effizient, reproduzierbar und kostengünstig Differenzialdiagnosen erhoben werden. Das Erkennen des normalen Atemgeräuschs oder von pathologischen Veränderungen und Nebengeräuschen erfordert entsprechende Übung. Eine wichtige Voraussetzung dazu ist die korrekte Durchführung und die Verwendung der international definierten Nomenklatur.

Abstract

The auscultation of the lungs is – among anamnesis – the most important part in the assessment of patients presenting with pulmonary symptoms. The lung auscultation is reproducible, cost efficient and very helpful to distinguish between differential diagnoses, in particular in emergency situations. Detection and description of lung sounds requires experience and should be performed by strict adherence to the internationally accepted terminology.

Schlüsselwörter

Lungenauskultation - Nomenklatur der Atemgeräusche - Nebengeräusche - klinische Untersuchung

Keywords

lung auscultation - lung sound terminology - adventitious lung sounds - clinical examination

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