患者，女，41岁，呼吸困难5年，加重3 个月。提问4:根据目前的信息，该患者应采取的紧急治疗方案为［辅助检查结果］①血常规:WBC9.0X 10⁹/L，N 68%, L 20%, M 3%, RBC 4. 0 X 10¹²/L,血沉12mm/h，抗“O”阴性。②心电图：心房颤动、左房扩大、心室率116次/分。③X线检查:正位时左房显著扩大，心影呈梨形;右心缘呈双心房影;双侧肺门阴影加深，肺血管自下而上再分布，提示肺淤血。④超声心动图:左房增大（前后径45mm）,余各心腔内径均在正常范围内。M型超声示二尖瓣前叶活动曲线 EF斜率减低，后叶随前叶向前运动，形成"城墙样”图形。二维超声示二尖瓣前叶增厚，回声增强。舒张期前后叶粘连呈气球样变，二尖瓣口面积明显变小，为0. 8cm²，EF 65%，未见明显反流，其余各瓣膜未见异常。心房内未见附壁血栓。 -题库考试答案搜索网

患者，女，41岁，呼吸困难5年，加重3 个月。
提问4:根据目前的信息，该患者应采取的紧急治疗方案为［辅助检查结果］①血常规:WBC9.0X 10⁹/L，N 68%, L 20%, M 3%, RBC 4. 0 X 10¹²/L,血沉12mm/h，抗“O”阴性。②心电图：心房颤动、左房扩大、心室率116次/分。③X线检查:正位时左房显著扩大，心影呈梨形;右心缘呈双心房影;双侧肺门阴影加深，肺血管自下而上再分布，提示肺淤血。④超声心动图:左房增大（前后径45mm）,余各心腔内径均在正常范围内。M型超声示二尖瓣前叶活动曲线 EF斜率减低，后叶随前叶向前运动，形成"城墙样”图形。二维超声示二尖瓣前叶增厚，回声增强。舒张期前后叶粘连呈气球样变，二尖瓣口面积明显变小，为0. 8cm²，EF 65%，未见明显反流，其余各瓣膜未见异常。心房内未见附壁血栓。

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2021-07-17 21:55

A、生命体征监测
B、给氧
C、静脉给予利尿剂及硝酸甘油
D、安装临时心脏起搏器
E、应用地高辛联用钙离子拮抗剂控制心室率
F、经皮球囊二尖瓣成形术 

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标签：医药卫生类中级心血管内科学（中级） 304押题卷一

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