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男,50岁。车祸后送至急诊室,主诉心前区绞痛。患者躁动不安,面色苍白。查体:颈静脉怒张,静脉压升高,

动脉压降低,脉压减小。下列哪项不支持心包出血的诊断

A.透视下心脏搏动减弱

B.X线心影明显增大

C.上腔静脉增宽

D.增强前后心脏周围病变的CT值无明显变化

E.MR成像心脏周围病变的信号与心包积液信号相似

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