患者,女性,剧烈胸痛伴发热,ST段除aVR导联以外呈弓背向下型抬高。最可能的诊断为A.急性心包炎B.高压性气胸C.急性心肌梗死D.主动脉夹层动...

作者: rantiku 人气: - 评论: 0
问题 患者,女性,剧烈胸痛伴发热,ST段除aVR导联以外呈弓背向下型抬高。最可能的诊断为
选项 A.急性心包炎 B.高压性气胸 C.急性心肌梗死 D.主动脉夹层动脉瘤破裂 E.病毒性心肌炎
答案 A
解析 :ST段上抬要考虑急性心包炎、急性心肌梗死、变异型心绞痛等。结合发热、弓背向下的ST段抬高考虑急性心包炎可能性大。

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