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女性,30岁,心悸、气短、下肢水肿1年。查体:呼吸困难,颈静脉怒张,心界向两侧扩大,有舒张期奔马律,心3/6级收缩期吹风样杂音,肝肋下3cm,X线:心影向两侧增大。经强心、利尿治疗2个月后,症状基本消失,心界明显缩小,心脏杂音较前减轻,奔马律消失,最可能的诊断是()

单选题
2021-12-27 11:01
A、风湿性心脏病二尖瓣关闭不全
B、急性心肌炎
C、急性心包炎
D、肥厚型梗阻性心肌病
E、原发性扩张型心肌病
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正确答案
E

试题解析

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