问题 单项选择题

患者,男,27岁,劳累时心悸,胸骨后疼痛1年,查体可闻及主动脉瓣区收缩期粗糙的喷射性杂音,主动脉瓣区第二心音减弱。X线检查示:左室扩大和升主动脉扩张,可能的诊断是()

A.冠心病心绞痛

B.非梗阻性肥厚型心肌病

C.主动脉瓣狭窄

D.主动脉瓣关闭不全

E.高血压性心脏病

答案

参考答案:C

解析:主动脉瓣狭窄主要临床表现为呼吸困难、心绞痛和晕厥;重要体征为主动脉瓣区收缩期喷射样杂音,常伴震颤;X线检查可见左心室扩大,升主动脉扩张。患者的症状体征符合主动脉瓣狭窄。

单项选择题
单项选择题

In the second half of each year, many powerful storms are born in the tropical Atlantic and Caribbean seas. Of (91) , only about half a dozen (92) the p, circling winds of 75 miles per hour or more that give them hurricane status, and several usually (93) their way to the coast. There cause millions of dollars of (94) , and bring death to (95) numbers of people.
The great storms that hit the coast start (96) innocent circling disturbances hundreds, even thousands of miles out to sea. As they travel aimlessly over water (97) by the summer sun, they are carried westward by the (98) winds. When conditions are just (99) , warm, moist air flows in (100) the bottom of such a disturbance, moves upward through it and comes out at the top. In the (101) , the moisture in this warm air produces rain, and with it the heat is converted to energy in the form of p winds. As the heat increases, the (102) hurricane begins to swirl in a counter-clockwise motion.
The average life of a hurricane is only about nine days, but it contains almost (103) power than we can imagine. The energy in the heat released by a hurricane’s rainfall in a(n) (104) day would (105) the entire electrical needs of the United States for more than six months. Water, not wind, is the main (106) of death and destruction in a hurricane. A(n) (107) hurricane brings 6-to 12-inch downpours (108) in sudden floods. (109) is the powerful movement of the sea-the mountains of water moving toward the low-pressure hurricane center. The water level (110) as much as 15 feet above normal as it moves toward shore.

A.on

B.in

C.at

D.from