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【单选题】
女性, 28 岁,近期食欲进,餐后不久又感饥饿,伴消瘦,情绪易激动 . 体检:颈部增粗,双侧甲状腺均增大,脉搏 100 次 / 分,体温 37.5 °C , BMR+40% , 131 I 摄取率 2h , 40% 。 原发性甲与继发性甲的主要鉴别点为
A.
脉搏增快程度
B.
脉压增大，收缩压升高
C.
甲状腺肿大与甲亢症状之间的先后关系
D.
基础代谢率增高程度
E.
131 I 摄取率增高与甲亢症状之间的先后关系
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