{"id":1541,"date":"2017-04-14T16:02:29","date_gmt":"2017-04-14T08:02:29","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1541"},"modified":"2017-05-04T14:06:26","modified_gmt":"2017-05-04T06:06:26","slug":"%e3%80%90%e5%b0%8f%e5%85%92%e5%bf%83%e8%87%9f%e7%a7%91%e3%80%91%e8%aa%8d%e8%ad%98%e5%85%92%e7%ab%a5%e5%bf%83%e9%9b%9c%e9%9f%b3","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1541","title":{"rendered":"\u3010\u5c0f\u5152\u5fc3\u81df\u79d1\u3011\u8a8d\u8b58\u5152\u7ae5\u5fc3\u96dc\u97f3"},"content":{"rendered":"<h4 style=\"text-align: right;\"><!--more-->\u4e2d\u5c71\u9644\u91ab \u5c0f\u5152\u5fc3\u81df\u79d1 \u00a0\u90ed\u696d\u6587 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\/>\n\u5c0f\u670b\u53cb\u56e0\u611f\u5192\u6216\u767c\u71d2\uff0c\u5728\u4e00\u822c\u5152\u79d1\u9580\u8a3a\u6c42\u8a3a\uff0c\u56e0\u91ab\u5e2b\u807d\u8a3a\u767c\u73fe\u5fc3\u81df\u6709\u5fc3\u96dc\u97f3\uff0c\u800c\u88ab\u8f49\u4ecb\u5230\u5c0f\u5152\u5fc3\u81df\u79d1\u9580\u8a3a\u4f5c\u9032\u4e00\u6b65\u6aa2\u67e5\u2026<\/p>\n<p>\u4ee5\u4e0a\u5e7e\u7a2e\u72c0\u6cc1\uff0c\u662f\u5c0f\u5152\u5fc3\u81df\u79d1\u91ab\u5e2b\u5728\u9580\u8a3a\u6700\u5e38\u8aee\u8a62\u7684\u554f\u984c\uff0c\u5bb6\u5c6c\u53d7\u91ab\u5e2b\u544a\u77e5\u5c0f\u670b\u53cb\u6709\u5fc3\u96dc\u97f3\u6642\uff0c\u5148\u5165\u70ba\u4e3b\u7684\u8a8d\u70ba\u5c0f\u670b\u53cb\u4e0d\u5e78\u60a3\u6709\u5fc3\u81df\u75c5\uff0c\u800c\u958b\u59cb\u7126\u616e\u4e0d\u5b89\u3002\u6240\u4ee5\u300c\u5fc3\u96dc\u97f3\u300d\u9019\u4e09\u500b\u5b57\uff0c\u5728\u5bb6\u9577\u7684\u5fc3\u4e2d\u5df2\u7d93\u548c\u300c\u5fc3\u81df\u75c5\u300d\u5283\u4e0a\u7b49\u865f\uff01\u5176\u5be6\u4e0d\u7136\uff0c\u5f88\u591a\u90fd\u662f\u5bb6\u5c6c\u591a\u616e\u4e86\u3002<\/p>\n<p>\u6839\u64da\u7d71\u8a08\uff0c\u81f3\u5c11\u670930%\u7684\u5b30\u5e7c\u5152\u5728\u4ed6\u5011\u7684\u4e00\u751f\u4e2d\u66fe\u7d93\u51fa\u73fe\u904e\u5fc3\u96dc\u97f3\u3002\u5fc3\u96dc\u97f3\u7684\u5f62\u6210\uff0c\u4e3b\u8981\u662f\u8840\u6d41\u5728\u5fc3\u81df\u6216\u8840\u7ba1\u5167\u6d41\u52d5\u800c\u7522\u751f\u4e82\u6d41\u6240\u5f15\u8d77\u7684\u8072\u97f3\u3002\u5fc3\u96dc\u97f3\u4e3b\u8981\u53ef\u5340\u5206\u5169\u5927\u985e\uff1a\u529f\u80fd\u6027\u6216\u826f\u6027\u5fc3\u96dc\u97f3\u53ca\u75c5\u7406\u6027\u5fc3\u96dc\u97f3\u3002<\/p>\n<p>\u82e5\u5fc3\u81df\u7d50\u69cb\u529f\u80fd\u6b63\u5e38\uff0c\u8840\u6db2\u5728\u5fc3\u81df\u5167\u6d41\u52d5\uff0c\u56e0\u5fc3\u81df\u6536\u7e2e\uff0c\u8f03\u9ad8\u7684\u5fc3\u8f38\u51fa\u91cf\u649e\u64ca\u5fc3\u81df\u8154\u5ba4\u9020\u6210\u7684\u5171\u9cf4\u8072\u97f3\uff0c\u5373\u6b78\u985e\u70ba\u7121\u5bb3\u7684\u529f\u80fd\u6027\u5fc3\u96dc\u97f3\uff08functional, benign or innocent murmur\uff09\u3002\u9019\u985e\u5fc3\u96dc\u97f3\u807d\u8d77\u4f86\u662f\u4f4e\u6c89\u3001\u9707\u986b\u7684\uff08vibratory\uff09\uff0c\u50cf\u64a5\u5f26\u8072\uff0c\u56e0\u985e\u4f3c\u5f26\u6a02\u7684\u8072\u97f3\uff0c\u53c8\u88ab\u5f62\u5bb9\u70ba\u6709\u97f3\u6a02\u6027\uff08musical\uff09\u7684\u5fc3\u96dc\u97f3\uff0c\u8072\u97f3\u8f03\u5c0f\u8f03\u77ed\u4fc3\uff0c\u51fa\u73fe\u5728\u5fc3\u6536\u7e2e\u671f\uff0c\u6cbf\u8457\u5de6\u80f8\u9aa8\u7684\u4e0a\u6216\u4e0b\u7de3\u53ef\u807d\u5230\u3002\u53ef\u80fd\u56e0\u767c\u71d2\u611f\u5192\u3001\u7dca\u5f35\u8208\u596e\u3001\u5287\u70c8\u904b\u52d5\u5f8c\u3001\u6216\u5176\u4ed6\u5c0e\u81f4\u5fc3\u8f38\u51fa\u91cf\u589e\u52a0\u7684\u539f\u56e0\u800c\u589e\u5f37\uff0c\u65bc3\uff5e7\u6b72\u7684\u5152\u7ae5\u6700\u5e38\u88ab\u807d\u5230\uff0c\u6703\u96a8\u8457\u5e74\u9f61\u589e\u9577\u800c\u6d88\u5931\u3002\u9019\u4e5f\u5c31\u662f\u70ba\u4ec0\u9ebc\u5c0f\u670b\u53cb\u56e0\u70ba\u611f\u5192\u6216\u767c\u71d2\u6c42\u91ab\u800c\u7a81\u7136\u88ab\u91ab\u5e2b\u544a\u77e5\u6709\u807d\u5230\u5fc3\u96dc\u97f3\u7684\u539f\u56e0\u3002<\/p>\n<p>\u53e6\u5916\uff0c\u5728\u90e8\u4efd\u7684\u65b0\u751f\u5152\u51fa\u751f\u5e7e\u5929\u5f8c\u6216\u5b30\u5152\u6642\u671f\u7279\u5225\u5bb9\u6613\u807d\u5230\u7684\u826f\u6027\u5fc3\u96dc\u97f3\uff0c\u5373\u201c\u5468\u908a\u80ba\u52d5\u8108\u72f9\u7a84\u201d\uff08peripheral pulmonary stenosis\uff09\u3002\u56e0\u70ba\u80ba\u52d5\u8108\u7684\u5206\u652f\u767c\u80b2\u5c1a\u672a\u5b8c\u5168\u800c\u5c0e\u81f4\u76f8\u5c0d\u6027\u7684\u5468\u908a\u80ba\u52d5\u8108\u72f9\u7a84\u3002\u9019\u985e\u7684\u5fc3\u96dc\u97f3\u901a\u5e38\u5728\u5de6\u80f8\u9aa8\u4e0a\u7de3\uff0c\u53ef\u807d\u5230\u65bc\u5fc3\u6536\u7e2e\u65e9\u671f\u767c\u51fa\u7684\u8f15\u67d4\uff08\u96dc\u97f3\u5f37\u5ea6\u4e0d\u6703\u5927\u65bc\u7b2c2\u7d1a\uff09\u800c\u77ed\u4fc3\u7684\u96dc\u97f3\uff08early- to mid-systolic ejection murmur\uff09\u3002\u9019\u662f\u80ba\u52d5\u8108\u5206\u652f\u767c\u80b2\u904e\u7a0b\u4e2d\u7684\u6b63\u5e38\u73fe\u8c61\uff0c\u591a\u6578\u57286\u81f312\u500b\u6708\u5927\u5f8c\u6703\u9010\u6f38\u6d88\u5931\u3002\u900f\u904e\u5fc3\u81df\u8d85\u97f3\u6ce2\u7684\u5f71\u50cf\u548c\u675c\u535c\u52d2\u6e2c\u91cf\u90fd\u53ef\u78ba\u8a3a\u3002<\/p>\n<p>\u81f3\u65bc\u75c5\u7406\u6027\u5fc3\u96dc\u97f3\uff0c\u96dc\u97f3\u901a\u5e38\u8f03\u5927\u8072\uff0c\u5927\u90e8\u4efd\u5f37\u5ea6\u90fd\u5728\u7b2c3\u7d1a\u6216\u66f4\u9ad8\uff0c\u4e3b\u8981\u662f\u65bc\u5fc3\u81df\u67d0\u90e8\u4f4d\u7684\u7f3a\u640d\u6216\u8840\u7ba1\u7684\u7570\u5e38\u800c\u5c0e\u81f4\u8840\u6d41\u5728\u5fc3\u81df\u8154\u5ba4\u9593\u548c\u8840\u7ba1\u5167\u5f62\u6210\u4e0d\u6b63\u5e38\u7684\u6e26\u6d41\u800c\u7522\u751f\u3002\u5f15\u8d77\u7684\u5e38\u898b\u539f\u56e0\u5305\u62ec\uff1a\u5fc3\u623f\u6216\u5fc3\u5ba4\u4e2d\u8188\u7f3a\u640d\u3001\u52d5\u8108\u5c0e\u7ba1\u672a\u9589\u5408\u3001\u74e3\u819c\u6216\u8840\u7ba1\u72f9\u7a84\u3001\u74e3\u819c\u95dc\u9589\u4e0d\u5168\u7b49\u7b49\u3002\u96dc\u97f3\u7684\u578b\u614b\u8f03\u591a\u6a23\uff0c\u5e38\u898b\u6709\u5fc3\u5ba4\u4e2d\u8188\u7f3a\u640d\u70ba\u5168\u6536\u7e2e\u671f\u96dc\u97f3\uff08pan-systolic\uff09\uff0c\u5927\u578b\u5fc3\u623f\u4e2d\u8188\u7f3a\u640d\u65bc\u5de6\u80f8\u9aa8\u4e0a\u7de3\u8655\u53ef\u807d\u5230\u6536\u7e2e\u671f\u96dc\u97f3\uff0c\u74e3\u819c\u6216\u8840\u7ba1\u7684\u72f9\u7a84\u4e5f\u662f\u6536\u7e2e\u671f\u96dc\u97f3\uff0c\u74e3\u819c\u95dc\u9589\u4e0d\u5168\u70ba\u8212\u5f35\u671f\u96dc\u97f3\u53ca\u52d5\u8108\u5c0e\u7ba1\u672a\u9589\u5408\u70ba\u9023\u7e8c\u6027\u7684\u96dc\u97f3\uff08continuous\uff09\u3002<\/p>\n<p>\u9664\u6b64\u4e4b\u5916\uff0c\u5fc3\u81df\u69cb\u9020\u96d6\u7136\u6b63\u5e38\uff0c\u4f46\u56e0\u7570\u7269\uff0c\u5982\u5fc3\u5167\u819c\u708e\u5f62\u6210\u7684\u8d05\u751f\u7269\u3001\u5fc3\u81df\u8154\u5ba4\u5167\u816b\u7624\u6216\u4eba\u5de5\u690d\u5165\u7269\uff0c\u4f7f \u8840\u6db2\u6d41\u52d5\u6027\u53d7\u5230\u5e72\u64fe\uff0c\u6216\u56b4\u91cd\u8ca7\u8840\u3001\u9ad8\u8840\u58d3\u3001\u5927\u578b\u52d5\u975c\u8108\u8840\u7ba1\u7578\u578b\u9020\u6210\u7684\u9ad8\u5fc3\u8f38\u51fa\u91cf\u90fd\u6703\u7522\u751f\u5fc3\u96dc\u97f3\u3002<\/p>\n<p>\u4e8b\u5be6\u4e0a\uff0c\u6709\u5fc3\u96dc\u97f3\u7684\u5152\u7ae5\u4e2d\uff0c\u53ea\u6709\u7d045%\u662f\u5c6c\u65bc\u5fc3\u81df\u7570\u5e38\u7684\u75c5\u7406\u6027\u96dc\u97f3\uff0c\u6240\u4ee5\u5927\u90e8\u4efd\u5152\u7ae5\u7684\u5fc3\u96dc\u97f3\u90fd\u5c6c\u7121\u5bb3\u7684\u826f\u6027\u96dc\u97f3\u3002\u56e0\u6b64\u5bb6\u9577\u5011\u5fc5\u9808\u6709\u6b63\u78ba\u7684\u89c0\u5ff5\u8207\u8a8d\u77e5\uff0c\u7121\u5bb3\u7684\u5fc3\u96dc\u97f3\u4e26\u4e0d\u5177\u6709\u7279\u5225\u7684\u610f\u7fa9\uff0c\u5728\u65e5\u5e38\u751f\u6d3b\u4e0a\u7121\u9700\u5c0d\u5c0f\u5b69\u63a1\u53d6\u904e\u5ea6\u4fdd\u8b77\uff0c\u66f4\u4e0d\u7528\u9650\u5236\u4ed6\u5011\u7684\u6d3b\u52d5\u3002\u4f46\u5728\u6b64\u5fc5\u9808\u5f37\u8abf\uff1a\u6709\u5fc3\u96dc\u97f3\u4e0d\u898b\u5f97\u4ee3\u8868\u6709\u5fc3\u81df\u75c5\u3002\u751a\u81f3\u6709\u4e9b\u5148\u5929\u6027\u5fc3\u81df\u75c5\u53ef\u80fd\u9084\u807d\u4e0d\u5230\u5fc3\u96dc\u97f3\u6216\u662f\u96dc\u97f3\u5f88\u4e0d\u660e\u986f\uff0c\u4f8b\u5982\uff1a\u80ba\u975c\u8108\u56de\u6d41\u7570\u5e38\u3001\u5fc3\u5167\u819c\u588a\u7f3a\u640d\u3001\u5c0f\u7684\u5fc3\u623f\u4e2d\u9694\u7f3a\u640d\u3001\u4e3b\u52d5\u8108\u7a84\u7e2e\u6216\u51a0\u72c0\u52d5\u8108\u8d77\u6e90\u7570\u5e38\u3002\u53e6\u5916\uff0c\u50cf\u662f\u6025\u6027\u5fc3\u808c\u708e\u3001\u5fc3\u808c\u75c5\u8b8a\u7b49\u5fc3\u81df\u75c5\u4e5f\u5e38\u7121\u5fc3\u96dc\u97f3\u3002\u6240\u4ee5\u53cd\u904e\u4f86\u8aaa\uff0c\u6c92\u6709\u96dc\u97f3\u4e5f\u4e0d\u8868\u793a\u6c92\u6709\u5fc3\u81df\u75c5\u3002<\/p>\n<p>\u56e0\u6b64\u9762\u5c0d\u8f49\u4ecb\u5230\u5c0f\u5152\u5fc3\u81df\u79d1\u9580\u8a3a\u7684\u6848\u4f8b\uff0c\u91ab\u5e2b\u9664\u4e86\u7d66\u4e88\u7126\u616e\u7684\u7236\u6bcd\u6b63\u78ba\u7684\u885b\u6559\u5916\uff0c\u5c31\u662f\u8981\u4ed4\u7d30\u7be9\u6aa2\u51fa\u90a3\u4e9b\u662f\u75c5\u7406\u6027\u5fc3\u96dc\u97f3\u7684\u75c5\u7ae5\u3002\u7d93\u7531\u8a62\u554f\u75c5\u53f2\uff0c\u5305\u62ec\u5bb6\u65cf\u53f2\u3001\u751f\u9577\u767c\u80b2\u72c0\u6cc1\u3001\u5bb6\u65cf\u907a\u50b3\u50be\u5411\u7b49\uff0c\u8eab\u9ad4\u7406\u5b78\u8a55\u4f30\uff0c\u80f8\u90e8\u5fc3\u97f3\u807d\u8a3a\uff0c\u6aa2\u67e5\u6709\u7121\u767c\u7d3a\u3001\u809d\u813e\u816b\u5927\u3001\u5fc3\u5f8b\u4e0d\u6574\u7b49\uff0c\u4e26\u9032\u4e00\u6b65\u642d\u914d\u6aa2\u67e5\uff0c\u5982\u80f8\u90e8X\u5149\u300112\u5c0e\u7a0b\u5fc3\u96fb\u5716\u3001\u5fc3\u81df\u8d85\u97f3\u6ce2\u7b49\uff0c\u78ba\u8a8d\u6709\u7121\u5fc3\u81df\u7570\u5e38\u3002<\/p>\n<p>\u70ba\u80fd\u5118\u65e9\u7be9\u6aa2\u6f5b\u5728\u7684\u5fc3\u81df\u75c5\u7ae5\uff0c\u7b2c\u4e00\u7dda\u7684\u5152\u79d1\u91ab\u5e2b\u5011\uff0c\u4e00\u76f4\u626e\u6f14\u8457\u91cd\u8981\u7684\u8046\u807d\u8005\u89d2\u8272\uff0c\u85c9\u7531\u50be\u807d\u5c0f\u670b\u53cb\u7684\u201c\u5fc3\u8072\u201d 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class=\"S\"><\/td>\n<\/tr>\n<tr>\n<td class=\"A\" style=\"text-align: center;\">\u665a<\/td>\n<td class=\"S\" style=\"text-align: center;\">V<\/td>\n<td class=\"S\" style=\"text-align: center;\"><\/td>\n<td class=\"S\" style=\"text-align: center;\"><\/td>\n<td class=\"S\" style=\"text-align: center;\"><\/td>\n<td class=\"S\" style=\"text-align: center;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<tr>\n<td height=\"87\">\u5c08\u9577: \u5152\u7ae5\u5148\u5929\u6027\u5fc3\u81df\u75c5\u3001\u6210\u4eba\u5148\u5929\u6027\u5fc3\u81df\u75c5\u3001\u5fc3\u5f8b\u4e0d\u6574\u3001\u5152\u7ae5\u904e\u654f\u3001\u6c23\u5598\u3001\u514d\u75ab\u53ca\u98a8\u6fd5\u76f8\u95dc\u75be\u75c5\u3001\u4e00\u822c\u5152\u79d1\u75be\u75c5\u3001\u8d85\u97f3\u6ce2\u6aa2\u67e5<\/p>\n<p class=\"E\">\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-1541","post","type-post","status-publish","format-standard","hentry","category-doc-heaedu"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1541"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1541"}],"version-history":[{"count":7,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1541\/revisions"}],"predecessor-version":[{"id":1663,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1541\/revisions\/1663"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}