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【简答题】
某男,70岁,发作性胸骨后闷痛4天,突发剧烈胸痛1小时,伴心悸、恐惧、濒死感,含服硝酸甘油不能缓解。既往有高血压病史30余年,吸烟史、饮酒40多年,20支/天,2两/天。查体:P 90次/分,BP 140/80mmHg,急性病容伴大汗,面色苍白,双肺无干湿啰音,心音低钝,律整,未杂音,腹无压痛。本次就诊首先考虑A、心绞痛 B、心包炎 C、肺梗死 D、心肌梗死 E、主动脉夹层 本次就诊前4天胸痛的原因是A、心绞痛 B、肺梗死 C、心包炎 D、心肌梗死 E、夹层动脉瘤
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