试题与答案

患者女,49岁。诊断为"冠心病,不稳定性心绞痛",术前冠脉造影示:"左主干95%阻塞

题型:单项选择题 共用题干题

题目:

患者女,49岁。诊断为"冠心病,不稳定性心绞痛",术前冠脉造影示:"左主干95%阻塞"。在全麻及体外循环下行"冠脉搭桥术",术后常规放置心包纵隔引流管各一根。术毕入ICU。入室时全麻未醒,常规心电及血流动力学监测,BP95/52mmHg,HR75bpm,CVP7mmHg,PAP27mmHg。2个多小时后出现:CVP很快升高到34mmHg,PAP无明显变化,血压下降至60/40mmHg,HR升到110~120bpm。

此时应首先考虑()。

A.心包填塞

B.低排综合征

C.低血容量休克

D.输血输液过量

E.过敏反应

F.急性心肌缺血或梗死

答案:

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