试题与答案

患者女,26岁,因“产后胸闷、气短2个月,加重1周”入院。既往无特殊病史。当地医院检

题型:单项选择题 案例分析题

题目:

患者女,26岁,因“产后胸闷、气短2个月,加重1周”入院。既往无特殊病史。当地医院检查肺部CT示肺栓塞(面积较小)。入院查体:Bp88/60mmHg,半卧位,呼吸稍促,颈静脉充盈明显。双下肺可闻及少许湿啰音。心率96次/min,律齐,可闻及第三心音,心尖区可闻及4/6级收缩期杂音。腹平软,肝剑下2cm,质软。双下肢水肿明显。心脏超声示:全心扩大,EF24%。

下列治疗方法不合适的是()

A.ACEI

B.间断应用利尿剂

C.低分子肝素

D.rt-PA

E.多巴胺+硝酸甘油

答案:

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