Quincke, de Musset, Duroziez, and Hill: Some Aortic Regurgitations
Quincke, de Musset, Duroziez, and Hill: Some Aortic Regurgitations
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DOI：
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发表时间：
1981-04
影响因子：
1.1
通讯作者：
J. Sapira
中科院分区：
文献类型：
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作者：
J. Sapira
主动脉瓣关闭不全的四个外周体征被认为是根据他们的原始描述，他们目前的流行程度，以及他们未来的潜在临床贡献。结果表明：（1）昆克毛细血管搏动征无临床意义; (2)de Musset摇头征的敏感性和特异性较低，但不确定。(3)Duroziez的股动脉双间歇性杂音征，经Blumgart和Ernstene修改，对主动脉瓣关闭不全的诊断几乎是100%特异性的。由于其敏感性，当正确执行时，约为90%，特别是在纯粹的主动脉瓣关闭不全，因此强烈推荐。(4)希尔氏征（腘动脉间接收缩压比同时测量的肱动脉间接收缩压高20 mm Hg）虽然几乎不为人知，但可用于诊断除轻度病例外的所有主动脉瓣关闭不全，并且是唯一可预测随后通过血管造影发现的主动脉瓣关闭不全程度的体征。
Four peripheral signs of aortic insufficiency are considered in terms of their original descriptions, their present popularity, and their potential future clinical contribution. It is concluded that: (1) Quincke's capillary pulse sign is not useful. (2) de Musset's head bobbing sign is of undetermined but apparently low sensitivity and specificity. (3) Duroziez's femoral double intermittent murmur sign, as modified by Blumgart and Ernstene, is almost 100% specific for the diagnosis of aortic insufficiency. Since its sensitivity, when properly performed, is about 90%, especially in pure aortic insufficiency, it is highly recommended. (4) Hill's sign (a popliteal indirect systolic blood pressure which is 20 mm Hg greater than a simultaneously measured brachial indirect systolic blood pressure) though almost unknown, is useful in diagnosing all but the mild cases of aortic insufficiency, and is the only sign that may predict the degree of aortic insufficiency subsequently found angiographically.