心脏体检_重庆医大《检体诊断学》课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Auscultation（听诊）-- clinical importance of cardiac murmurs (心脏杂音的临床意义） Systolic murmurs (收缩期杂音） Other areas (其它部位） Area Features Conditions Functional 2,3,4 intercostal 1/6-2/6 some youngsters space mild, no transmission, sitting softer Organic sonorous， ventricular rough， septal holosystolic， defect thrill， spurting. * Auscultation（听诊）-- clinical importance of cardiac murmurs (心脏杂音的临床意义） Diastolic murmurs (舒张期杂音） Mitral valve area (二尖瓣区） Organic Relative or Functional Feature of murmur rough,crescendo, mild,decrescendo, mid-late diastolic mid-late diastolic thrill no thrill Patting S1 often have no Opening snap may have often does not have Atrial fibrillation often have often does not have X-chest film mitral type aorta type * Auscultation（听诊）-- clinical importance of cardiac murmurs (心脏杂音的临床意义） Diastolic murmurs (舒张期杂音） Aortic valve area (主动脉瓣区） Features of murmur Condition Organic early-diastolic, aortic insufficiency decrescendo, (rheumatic heart disease sighing, congenital heart disease, transmit to apex area， Marfan’s syndrom) best heard over the second aortic valve area，