At Survey Of Such Patients Always Typical Signs

At survey of such patients always Typical signs of change of the form of a thorax, come to light - Box sound, absent-minded sonorous dry (and sometimes and Mixed damp) rattles and always - lengthening of time of an exhalation. Often enough it is possible to listen to the rough The cracklings beginning with a breath and rattles after the compulsory Tussiculations and exhalation strengthenings. The symptom is almost always marked , Drum-type sticks and other signs chronic . The status of consciousness of the patient can be lowered It (is oppressed) at serious increase PaCO2 (more than 50 mm ). Patients With the central alveolar hypoventilation, COPD and fatness The hypoventilating syndrome can testify and to the pulmonary Hypertensions. The last include: strengthening of a pulmonary component of the second Tone (P2) a warm sound, the big component of "wave" of venous pulse to a pole, a deviation of the right border of heart to the right, Superfluous pulsation in , etc. Sometimes it is possible for area To listen to noise and S4 on the right (in vertical position The patient).