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作者认为在过去数年中,通过听诊、心音描记、心导管检查及超声心动图·的研究结果,极大地丰富了我们对正常与病理性心脏听诊的了解。但遗憾的是过于强调了无创性甚至创伤性的心脏诊断性研究,而忽视了对物理检查发现去作细心的评价。 如何才能从听诊获得较大的效益呢仑首先反复传授心脏听诊是极为重要的。近年来,高精度扩音器和同时显示的心音图描记的发展,已大大地改善了教学技巧。然而,医生对患者
The authors believe that in the past few years, our findings on auscultation, phonocardiography, cardiac catheterization and echocardiography have greatly enriched our understanding of normal and pathological cardiac auscultation. Unfortunately, too much emphasis is placed on noninvasive or even traumatic diagnostic studies of the heart, neglecting careful assessment of physical findings. How can we get greater benefit from auscultation? It is very important to teach heart auscultation repeatedly. In recent years, the development of high-precision loudspeakers and simultaneous display of phonocardiogram has greatly improved teaching skills. However, the doctor is right for the patient