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因工作需要,小王参加高校新生入学体检复查工作,张主治负责总检。在体检复查中发生了一起有关听诊中容易混淆的概念性问题,引起了一场有益的议论,笔者把它整理和记录下来,供大家参考。有一天,来了一位平时身体一贯健康的新生,由于心情紧张,体检时心扑通扑通直跳。小王按常规作了心脏视、触、叩诊检查,均无异常发现,听诊时发现心率很快达110次/分,在心尖区及心尖与胸骨之间除听到第一心音(S_1)和第二心音(S_2)外,还听到响亮的第三心音(S_3)。小王结合该学生心率超过100次/
Due to work needs, Wang attended freshmen admission medical examination work, Zhang Zhizhi responsible for the total inspection. In the review of the medical examination, a conceptual confusion about auscultation occurred, which aroused a useful discussion. The author sorted it out and recorded it for your reference. One day, I came to a freshman who has always been in good health. Due to my nervousness, I was beaten and fluttered during the examination. According to the routine, Wang made cardiac visualization, touch and percussion examination. No abnormal findings were found. During the auscultation, the heart rate was found to be as high as 110 beats / min. In addition, the first heart sound (S_1) was heard between the apex and the apical and the sternum And the second heart sound (S_2), but also heard a loud third heart sound (S_3). Wang combines the student heart rate more than 100 times /