Castell D O, Frank B B
Postgrad Med. 1977 Dec;62(6):131-4. doi: 10.1080/00325481.1977.11714708.
Clinicians should not minimize or overlook the importance of percussion of the liver and the spleen and of auscultation over the liver as routine parts of abdominal examination. Splenic percussion can be used to detect splenomegaly even before the spleen becomes palpable. The span of liver dullness on percussion can be compared with established normal standards to detect hepatomegaly or alterations caused by cirrhosis. A systolic bruit, a friction rub, or a venous hum detected by auscultation over the liver is an important sign of liver disease.
临床医生不应轻视或忽视肝脏和脾脏叩诊以及肝脏听诊作为腹部检查常规部分的重要性。脾脏叩诊甚至可在脾脏触诊之前用于检测脾肿大。叩诊时肝脏浊音界的范围可与既定的正常标准进行比较，以检测肝肿大或肝硬化引起的改变。通过肝脏听诊检测到的收缩期杂音、摩擦音或静脉嗡鸣声是肝脏疾病的重要体征。
