男，36岁，有风湿性心瓣膜病多年，体检：心尖部有舒张期雷鸣样杂音与3/6级收缩期吹风样杂音，颈静脉怒张，肝肋下2cm，胸片示左房、左室大，最可能的诊断是

试卷相关题目

SQL Error: select id,body,options from ***_enewstiku where sourceid='30629' and id < 2470048 and id<>'2470048' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='30629' and id > 2470048 and id<>'2470048' order by id asc limit 5