男，67岁，患高血压18年，2年前患急性前壁心肌梗死，门诊测血压22.7/13.3kPa（170/100mmHg），心率96次／分，该患者的最佳药物选择是（）
A.美托洛尔
B.维拉帕米
C.卡托普利
D.吲达帕胺
E.哌唑嗪
参考答案：A
解析：高血压合并发生过心肌梗死患者应选用ACEI或β受体阻滞剂，预防心室重构。尽可能选择长效制剂。美托洛尔可降低心率，降低血压，预防心绞痛，改善心梗患者预后，减少死亡率，降压作用持续时间较长，为长效制剂
| 阅读理解。 根据短文内容,从短文后的选项中选出能填入空白处的 最佳选项。选项中有两项为多 余选项。 | |
| 1.___ One of the best things you can possibly do is to start your own club. It's great fun especially if you're the sort of person who feels there's never anything to do during the school holidays. The first thing you need to come up with is an idea for your club. 2.____ Pets, clothes, pop music or dancing groups, sports, making things? The list is endless. Next you need some friends to be in your club with you. 3.___ All you need is three or four other people who are interested in the same things as you. 4.____ You should all sit down somewhere together with lots of pieces of paper and write down every name you can think up. That'll keep you busy for ages. At your first meeting you should make up a rule book. And the very first rule should be no grown-ups or little/big brothers/ sisters! The best clubs are always secret! Now you have just about everything you need, except membership cards. These are very important and again you can spend a lot of time making them. 5.___ Why not leave some space for a photo of yourself? That will make the membership card really look like it. So there you are, get clubbing! Once you get started you'll think of loads of more interesting things to do! | |
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