试题与答案

以下哪一项不是肝硬化门脉高压患者的心血管病理生理特点()。 A.血管阻力降低 B.心

题型:单项选择题 A1/A2型题

题目:

以下哪一项不是肝硬化门脉高压患者的心血管病理生理特点()。

A.血管阻力降低

B.心排血量增加

C.对儿茶酚胺的敏感性增强

D.血容量增加

E.动脉压正常

答案:

参考答案:C

解析:肝硬化门脉高压的患者心血管功能总的特点是高动力状态,即高心输出量、低外周血管阻力,而灌注压、心率、动脉压则正常。外周血流对组织氧耗来说供过于求,动静脉氧含量差缩小。另外,心血管系统对交感和儿茶酚胺的敏感性是降低的,机制还不清楚。

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