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下列不属于急性病毒性心肌炎常见临床表现的是()

单选题
2021-12-24 01:34
A、先有发热,然后出现心悸、胸闷
B、恶心、呕吐等消化道症状
C、可合并各种心律失常
D、常出现器质性心脏杂音
E、心动过速与发热程度平行
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正确答案
E

试题解析
病毒性心肌炎约半数于发病前1~3周有病毒感染的前驱症状,如发热,全身倦怠感,即所谓"感冒"样症状或恶心、呕吐等消化道症状。然后出现心悸、胸痛、呼吸困难、水肿,甚至Adams-Stokes综合征。体检可见与发热程度常不平行的心动过速,各种心律失常,可听到第三心音或杂音。病毒性心肌炎时心动过速与发热程度常不平行,即发热程度很轻,可是心动过速较明显。

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