A.风湿性心包炎B.结核性心包炎C.原发于心包的间皮瘤D.心肌病E.化脓性心包炎女性,30岁,发热、胸痛10天,伴呼吸困难3天,查体心...

作者: rantiku 人气: - 评论: 0
问题 A.风湿性心包炎 B.结核性心包炎 C.原发于心包的间皮瘤 D.心肌病 E.化脓性心包炎 女性,30岁,发热、胸痛10天,伴呼吸困难3天,查体心影增大,B超心包腔大量积液,PPD强阳性。应考虑
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答案 B
解析 :(1)原发于心包的间皮瘤很少见,但对于病程较长,正规抗结核治疗无效的心包炎应警惕间皮瘤的可能,心包积液细胞学检查或心包膜活检有助于明确诊断

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