选择题:12岁女孩,3年来常感胸闷、乏力,活动后心悸,间有四肢关节疼痛,近2天胸闷、气粗加剧。查体:面色苍白,咽红,扁桃体Ⅰ度肿大,心率130次/分,心音低钝,心尖区可闻及2/6级收缩期杂音,双下肢轻度水肿。WBC 12×109/L,N 0.88,LY 0.12,Hb95 g/L。

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题目内容:
12岁女孩,3年来常感胸闷、乏力,活动后心悸,间有四肢关节疼痛,近2天胸闷、气粗加剧。查体:面色苍白,咽红,扁桃体Ⅰ度肿大,心率130次/分,心音低钝,心尖区可闻及2/6级收缩期杂音,双下肢轻度水肿。WBC 12×109/L,N 0.88,LY 0.12,Hb95 g/L。

最可能发生

A.风湿性心瓣膜病,心力衰竭

B.风湿性关节炎

C.病毒性心肌炎,心力衰竭

D.风湿性感染性心内膜炎

E.先天性心脏病,心力衰竭




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