肺部疾病中的心脏检查。

Clin Chest Med. 1987 Jun;8(2):273-85.

The physical examination, that is, inspection, palpation, and auscultation, is as valuable today as it ever was, even for structures as inaccessible as the heart and pulmonary circulation. Examination of the heart in patients with lung disease aims to detect changes in the structures or function of the right heart that are secondary to the pulmonary process and to detect the circulatory status of the patient. The most important cause of changes in the right ventricle in patients with lung disease is increased afterload caused by pulmonary hypertension. Auscultation remains one of the most sensitive means of detecting pulmonary hypertension, and the physical signs allow assessment of right ventricular function as well as response to therapy.

体格检查，即视诊、触诊和听诊，如今依然具有重要价值，即便对于像心脏和肺循环这样难以触及的结构亦是如此。对肺部疾病患者的心脏检查旨在发现继发于肺部病变的右心结构或功能变化，并检测患者的循环状态。肺部疾病患者右心室变化的最重要原因是肺动脉高压导致的后负荷增加。听诊仍然是检测肺动脉高压最敏感的方法之一，体格检查体征有助于评估右心室功能以及治疗反应。