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问题 单项选择题

患者，男，58岁，胸骨后阵发性疼痛半年余，透视见心影稍大，CT片如图，最可能的诊断是（）

A．慢性肺源性心脏病

B．缩窄性心包炎

C．高血压性心脏病

D．冠状动脉粥样硬化性心脏病

E．风湿性心脏病二尖瓣狭窄

答案

参考答案：D

解析：

冠状动脉粥样硬化性心脏病因冠状动脉粥样硬化病变造成冠状动脉管腔狭窄、闭塞，引起心肌缺血和坏死。

填空题


Health officials in western Siberia are to begin in slaughter of thousands of birds today after identifying Russia’s first outbreak of a bird flu strain that can be fatal in humans. Doctors in neighboring Kazakhstan have also (1) that a 19-year-old poultry worker (2) admitted to hospital with (3) of bird flu, only to be diagnosed (4) double pneumonia.
The H5N1 strain of avian (5) has killed 60 people (6) 2fib in Vietnam, Thailand, Cambodia and Indonesia, but has rarely been found in birds or humans (7) Asia.
Health officials (8) that HSN1 is infecting migrating birds, which could spread the (9) into Europe. Earlier this year China registered the first outbreak of H5N1 (10) wild birds, some of which (11) to breeding grounds in Siberia. These birds could come (12) contact with others flying to Europe and North America.
Russia’s (13) began in the Novosibirsk (14) , about 1,750 miles (15) of Moscow in the Asian part of Russia, early last month, but the veterinary service (16) the virus only last week. Valery Mikheyev, the chief sanitary doctor of Novosibirsk, said that teams had been (17) the (18) birds and supervising the slaughter in13 (19) villages. He said, "The state of (20) of the inhabitants of these areas gives (21) cause for alarm. Up to 6,000 people are being (22) per day.
The virus seems to have (23) only private farms that let (24) mix with wild birds. Further outbreaks were registered in the Omsk and Altai regions, but the strain had (25) to be determined, Russia’s Emergency Situations Ministry said.
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炉渣热灼减率
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