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b*******8
发帖数: 275 | 1 快两岁的女宝咳嗽快一个月了，提出来请医生检查气管(不是指肺)，医生说查气管要用
管子插进去
，太aggressive了，可是朋友说她家宝宝的医生用听诊器就能听出气管的问题，根本
不用插管子。
所以想问问大家，不愿意做出对现在宝宝的医生不公正的判断。
Thank you! | y*****g
发帖数: 193 | 2 Your MD means bronchoscopy which is invasive. Pt is sedated and intubated
prior to bronchoscopy. By that way, MD can visualize the bronchial trees.
Your baby doesn't need that.
Stethocopes can catch air flow through bronchi. If airway is narrow,
stethocope can catch wheezing sound. If airway is almost closed,there will
be no air flow sound.
It's just miscommunication between you and the provider. Even you suspect
asthma or bronchitis for your baby, sometimes it is a clinical diagnosis,
depending on signs and symptoms. | b*******8
发帖数: 275 | 3 多谢您的很专业的信息！不太明白，您是指用听诊器不一定能判断出来气管的疾病，取
决于气管的粗细（太粗太细都不行）？或者说，没听出来不能代表气管是正常的? | g*****j
发帖数: 1211 | 4 Stethoscope never tells you the diagnosis. It is used to hear the air flow.
It is just a piece of information that doctor collects to arrive at the
most likely diagnosis.
Think about how you whistle. The shape of your lip and tongue change the
sound of your whistle. Stethoscope can hear the sound, and based on the
sound, one can deduce the physical shape and state of the air way, based on
knowledge of normal anatomy and disease processes. |
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