32岁孕妇，患风心病5年，孕32周就诊，病人主诉及体检中，哪项不能用妊娠期心血管功能改变来解释
A．心率加速有心悸感
B．气短
C．心尖搏动向左移位
D．舒张期杂音
E．心尖部有柔和收缩期杂音
参考答案：D
解析：解 析：正常妊娠时可有轻度心悸、气短、浮肿、心动过速等症状，心尖搏动向左上移位，肺动脉区与心尖区有收缩期杂音的体征。但有舒张期杂音应考虑器质性心脏病的存在
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