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【单选题】
患者,女,52岁,间断颜面和下肢水肿10年,再发伴胸闷1个月。平素怕冷、毛发稀疏。之前未曾诊治。查体:T36.3℃,Bp90/60mmHg,心尖搏动位于心浊音界内2cm,HR60次/min,律齐,双下肢轻度水肿。实验室检查:血WBC3.8×10 9 /L,N0.56,Hb92g/L,PLT99×10 9 /L,肝、肾功能正常,血脂增高(TG6.96mmol/L,TC7.01mmol/L),cTnI阴性。ECG示性心律60次/min,低电压。心脏彩色超声示心包积液。 根据患者心包积液但未出现预料中的代偿性心动过速及其他临床特点,推测其可能的病因是()
A.
非特异性心包炎
B.
结核性心包炎
C.
肿瘤性心包积液
D.
甲状腺功能减退症
E.
尿毒症性心包炎
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A.
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B.
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C.
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D.
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B.
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