二尖瓣关闭不全-仁济临床医学院诊断学课件.PPTVIP

二尖瓣关闭不全 ?症状?： 轻度可无症状，较重可有乏力、心悸、活动后气急。 mital insufficiency Symptoms Mild—asymptomatic Severe—fatigue,shortening of breath 二尖瓣关闭不全 体征： 望诊：心尖向左下移位 触诊：心尖部有抬举感 叩诊：心界向左下扩大 听诊：心尖部吹风样收缩期杂音，粗糙、3级以上，向左腋下或左肩胛下区传导，可闻及P2亢进分裂。 mital insufficiency Signs The amplitude and area of the apical impulse are increased,and it is laterally displaced.the duration of the apical impulse is brief. A holosystolic murmur is loudest at the apex andradiates to the axilla and left lung base. 二尖瓣关闭不全 * * mital insufficiency * *