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女性,54岁。风湿性心脏病20年。查体:胸骨右缘第2肋间可触及收缩期震颤。该患者心脏瓣膜存在的问题是()

单选题
2021-12-27 01:58
A、主动脉瓣狭窄
B、肺动脉瓣狭窄
C、二尖瓣狭窄
D、主动脉瓣关闭不全
E、二尖瓣关闭不全
查看答案

正确答案
A

试题解析
主动脉瓣狭窄时胸骨右缘第2肋间可听到粗糙、响亮的喷射性收缩期杂音,呈先递增后递减的菱形,第一心音后出现,收缩中期达到最响,以后渐减弱,主动脉瓣关闭(第二心音)前终止;常伴有收缩期震颤。

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