首页/ 题库 / [单选题]女性,44岁,活动后心悸、气短、夜间阵发的答案

女性,44岁,活动后心悸、气短、夜间阵发性呼吸困难、纳差、上腹饱胀、少尿、下肢水肿2个月余。体检示颈静脉怒张,双肺底闻细小湿啰音,心脏向两侧扩大,心率100次/分,律整,心尖部闻第三心音奔马律,可闻Ⅱ级收缩期杂音,肝大,肝颈静脉回流征(+),双下肢水肿(++),超声示左右心室扩大,弥漫性运动减弱,二尖瓣中度反流。最可能的诊断是()

单选题
2021-12-26 00:45
A、风湿性心脏病,二尖瓣关闭不全,全心衰竭
B、扩张型心肌病,全心衰竭
C、渗出性心包炎
D、风湿性心脏病,主动脉瓣关闭不全,全心衰竭
E、缩窄性心包炎
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正确答案
A

试题解析

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