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下列应首先考虑急性心肌梗死可能的情况是()

单选题
2021-09-02 13:42
A、患者虽无症状但Ⅲ导联出现Q波
B、夜间发生心绞痛
C、缺血性胸痛持续大于30分钟
D、不明原因晕厥
E、下肢深静脉血栓形成,患者突发胸痛、呼吸困难
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正确答案
C

试题解析
Ⅲ导联出现Q波并不是心肌梗死的特征性改变,夜间发生心绞痛属于不稳定型心绞痛,晕厥原因很多,心肌梗死表现为持续性缺血性胸痛,表现为晕厥的并不多见,下肢深静脉血栓形成患者突发胸痛、呼吸困难应首先考虑急性肺栓塞的可能。

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