患者，女，22岁，5年前发现心脏杂音。2个月来乏力、头晕、食欲下降，四肢关节疼痛。1周来活动后气短，夜间反复憋醒而来院就诊。查体：体温37. 8℃，脉率96次/分，血压120/ 60mmHg，消瘦，睑结膜苍白，可见小出血点，右肺底少许小水泡音，心界不大，心律整，心尖部S1减弱，胸骨左缘第三肋间可闻舒张期叹气样杂音，肝脾肋下均可及，下肢不肿。血红蛋白84g/L,白细胞12.1X109 /L,红细胞沉降率（血沉）38mm/第1小时末，尿常规红细胞2〜4/HP。该患者心脏杂音最可能的瓣膜异常是 -题库考试答案搜索网

患者，女，22岁，5年前发现心脏杂音。2个月来乏力、头晕、食欲下降，四肢关节疼痛。1周来活动后气短，夜间反复憋醒而来院就诊。查体：体温37. 8℃，脉率96次/分，血压120/ 60mmHg，消瘦，睑结膜苍白，可见小出血点，右肺底少许小水泡音，心界不大，心律整，心尖部S1减弱，胸骨左缘第三肋间可闻舒张期叹气样杂音，肝脾肋下均可及，下肢不肿。血红蛋白84g/L,白细胞12.1X10⁹ /L,红细胞沉降率（血沉）38mm/第1小时末，尿常规红细胞2〜4/HP。
该患者心脏杂音最可能的瓣膜异常是

单选题

2021-07-17 21:57

A、主动脉瓣关闭不全
B、肺动脉瓣关闭不全
C、二尖瓣关闭不全
D、三尖瓣关闭不全
E、二尖瓣穿孔

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正确答案

A

试题解析

标签：医药卫生类中级心血管内科学（中级） 304押题卷三

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