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男性,30岁。气急、心悸、乏力2年,半年来出现胃纳减退,下肢浮肿和腹胀收治人院。体检:颈静脉怒张,心界轻度扩大,心尖部可闻及收缩期吹风样杂音Ⅲ级,向左腋下传导。P2亢进。两肺少量湿啰音。肝肋下四指,有压痛,肝颈回流征阳性,有腹水和下肢浮肿,测定STI示PEP/LNET比值为0.60,EF值0.5

A. 右室心肌病
B. 限制型心肌病
C. 心尖肥厚型心肌病
D. 扩张型心肌病
E. 缺血型心肌病 下列病例最可能的诊断是:

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男性,23岁。半年来发作性晕厥约4次来诊。心电图为不全性右束支传导阻滞,V1—V4T波倒置。心脏体征阴性。一次晕厥发作时心电图呈左束支传导阻滞型室性心动过速。心室晚电位阳性

A. 右室心肌病
B. 限制型心肌病
C. 心尖肥厚型心肌病
D. 扩张型心肌病
E. 缺血型心肌病 下列病例最可能的诊断是:

针对该例,最不应该选用的药物为

A. 氟卡尼
B. β受体阻滞剂
C. 利多卡因
D. 胺碘酮
E. 美西律

影响肥厚型梗阻性心肌病流出道狭窄的因素中,下列哪项是错误的

A. 左室腔与左室流出道间压差加大时梗阻加重
B. 心肌收缩力加强时梗阻加重
C. 周围循环阻力下降时梗阻减轻
D. 二尖瓣前叶前移明显时梗阻加重
E. 收缩期容量增多时梗阻减轻

A plainclothes New York City police officer was shot in the face at Tuesday 1. ______ night while pursuing a man at a Brooklyn housing project, but evading life- 2. ______ threatening injuries in what the mayor called a remarkable stroke of good fortune. At Bellevue Hospital Center, doctors removed the bullet from the skull of the officer, Kevin Brennan, 29, a six-year veteran from Long Island. He remained there Tuesday night in critical but unstable condition. 3.______ Police caught the suspected gunman, Luis Ortiz, in a building near 4. ______ hours after he exchanged gunfire with Mr. Brennan. The officer fired one round, but Mr. Ortiz was not stuck. 5. ______ During the news conference, Mr. Kelly held the bullet aloft in a plastic container, proclaiming Mr. Brennan "one lucky man". Mr. Brennan, thus 6, ______ passing in and out of consciousness, was expected to make a full recovery. "Mr. Brennans young daughter," Mr. Bloomberg said, "has no reason to believe in that her daddy wouldnt be there to see her crawl for the first 7. ______ time, and, in good time, to dance at her wedding". The shooting was occurred about 9 p.m. near 370 Bushwick Avenue, 8. ______ on the first floor of a building in the Bushwick Houses project, in the 90th Precinct. Mr. Brennan and two other officers pursued the suspect in return to 9. ______ a report of a man with a gun. Mr. Brennan was the first inside the building. Around 10 p.m., officers could be seen entering one building. Police dogs were also present. As scores of other officers swarmed a site, 10.______ helicopters buzzed overhead.

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