来自肺的声音-粗湿罗音（Coarse Crackles)

导语 粗湿罗音 ，也叫粗爆裂音。它比细湿罗音的响度更大，持续时间更长，且没有特定偏爱的肺部听诊区域。

先认识几个单词

predilection 英 [ˌpriːdɪˈlekʃn]   美 [ˌpredlˈekʃn]   n. 偏好;偏爱;喜爱;钟爱

popping 英 [ˈpɒpɪŋ]   美 [ˈpɑːpɪŋ]   v.(使)发砰砰声;(使)爆裂，发爆裂声; n. 流行音乐；汽水；（短促清脆的爆裂声）砰；adj. 流行音乐的；通俗的；现代的 edema 英 [ ɪ ˈd i ːmə]   美 [ ɪ ˈd iː mə]   n. 浮肿；水肿

视频摘要

粗湿罗音(Coarse rales)，也称粗爆裂音(Coarse Crackles)。

You are listening to coarse crackles ( also known as rales)

你现在听到的是粗爆裂声（也称为罗音）

They have a popping characteristic sound that is low-pitched

它们的特征，是一种低沉的爆裂声。

Coarse crackles are sometimes described as having a “bubbling” sound quality.

粗爆裂音（粗湿罗音），有时被描述为具有“气泡”的音质。

Compared to fine crackles, coarse crackles are low-pitched , louder& last longer in duration.

与细爆裂音（细湿罗音）相比，粗爆裂音（粗湿罗音）的音调较低，声音更大，持续时间更长。

Coarse crackles can be heard in patients with chronic bronchitis, bronchiectasis, pneumonia and severe pulmonary edema.

慢性支气管炎、支气管扩张、肺炎和严重肺水肿患者可听到粗湿罗音声。

It is produced by air passing through airways which undergo intermittent opening and closing

它是由空气通过间歇性打开和关闭的气道产生的。

Coarse crackles can be heard in both phases of respiration(inspiration & expiration)

在呼吸的两个阶段（吸气相&呼气相）都可以听到粗湿罗音。

Compared to fine crackles, which are heard best at the lung bases, coarse crackles have no predilection for any particular area of the lung。
粗湿罗音对肺的任何特定区域都没有偏好，这与细湿罗音是有区别的，细湿罗音在肺底听的更清楚。

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