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患者，女，75岁，半年来稍活动后心悸、气短,1个月来夜间不能平卧、双下肢水肿来院，5年前患前壁心肌梗死，有高血压病史16年、糖尿病史12年。查体:T37.3℃，P 88次/分,Bp 135/60mmHg，半卧位，颈静脉怒张，双肺底可闻及湿啰音，心界向左下扩大，心率120次/分，心律失常，A2=P2, 脉短绌，腹壁厚,肝触诊不满意，双下肢凹陷性水肿(++)。针对该患者的心律失常应首选的药物是
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患者，女，75岁，半年来稍活动后心悸、气短,1个月来夜间不能平卧、双下肢水肿来院，5年前患前壁心肌梗死，有高血压病史16年、糖尿病史12年。查体:T37.3℃，P 88次/分,Bp 135/60mmHg，半卧位，颈静脉怒张，双肺底可闻及湿啰音，心界向左下扩大，心率120次/分，心律失常，A2=P2, 脉短绌，腹壁厚,肝触诊不满意，双下肢凹陷性水肿(++)。针对该患者的心律失常应首选的药物是
A、普罗帕酮
B、胺碘酮
C、维拉帕米
D、地高辛
E、奎尼丁
时间：2021-07-17 21:56
关键词：
医药卫生类
中级
心血管内科学（中级）
304押题卷三
答案解析
D
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