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患者，男，71岁。吸烟患者。反复咳嗽、咳痰、气促40余年，胸闷、心悸2年，加重伴发热1，昏睡3小时入院。入院后查体：BP140/90mmHg，嗜睡状，能应，瞳孔等大等圆，对光反射存在，口唇发绀，双肺可闻及干、湿啰音，心率120次/分，期前收缩3次/分，下肢凹陷性水肿。该患者最可能的诊断是A.
冠状动脉硬化性心脏病
B.
慢性肺源性心脏病
C.
风湿性心脏病
D.
原发性心肌病
E.
高血压心脏病
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