Finding检查结果

Comment/significance临床意义

Left ventricular thrust左室冲击

Left ventricular hypertrophy左心室肥厚

Displacement of left ventricular pulse downward and to the left

左心室搏动向下、左移位

Left ventricular dilatation; left ventricular failure; volume overload (aortic regurgitation or decompen- sated mitral regurgitation)

左心室扩张；左心室衰竭；容量过载（主动脉瓣反流或二尖瓣反流代偿失调)

Presystolic impulse

收缩前期冲动

Pressure overloaded states (hypertension, aortic stenosis) 压力过载状态（高血压、主动脉狭窄)

Double systolic impulse

双重收缩期冲动

Hypertrophic obstructive cardiomyopathy

肥厚型梗阻性心肌病

Systolic bulge (dyskinetic impulse)

收缩期膨出（运动障碍冲动)

Coronary artery disease, recent myocardial infarction (most commonly felt above and medial to the point of maximal impulse)

冠状动脉疾病；近期心肌梗死（极常见于最强冲击点上方或内侧)医.学 全在.线提供www.med126.com

Parasternal lift

胸骨旁抬举

Mitral regurgitation (occurs after the left ventricular apical impulse); right ventricular dilatation (mitral stenosis, pulmonary embolism)

二尖瓣反流（于左室心尖搏动后发生)；右室扩张（二尖瓣狭窄、肺栓塞)

Thrills

震颤

Aortic stenosis, pulmonic stenosis; ventricular septal defect, severe mitral regurgitation

主动脉瓣狭窄、肺动脉狭窄；室中隔缺损，严重二尖瓣反流