A.超声心动图B.胸部X线检查C.冠状动脉造影D.肺动脉造影检查E.心电图检查患者男性,42岁,右下肢血栓性静脉炎.3个月,早晨锻炼时...

作者: rantiku 人气: - 评论: 0
问题 A.超声心动图 B.胸部X线检查 C.冠状动脉造影 D.肺动脉造影检查 E.心电图检查 患者男性,42岁,右下肢血栓性静脉炎.3个月,早晨锻炼时突然发生右胸部剧烈疼痛,伴气短、咯血,心电图检查呈S1QⅡTⅢ。最具有诊断意义的检查是
选项
答案 D
解析 :(1)患者有右下肢血栓性静脉炎史3个月,易形成静脉血栓,临床上表现有右胸部剧烈疼痛,伴气短、咯血,心电图检查呈SIQⅢTⅢ。首选应考虑肺动脉栓塞,所以应做肺动脉造影检查以明确诊断;

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