男孩,腹泻2d。粪便呈蛋花汤样,7~8次/天,伴频繁呕吐,不能进食。近4h内尿量明显减少。查体:体重10kg,面色苍白,精神烦躁,口干,眼眶、前囟凹陷,皮...

作者: rantiku 人气: - 评论: 0
问题 男孩,腹泻2d。粪便呈蛋花汤样,7~8次/天,伴频繁呕吐,不能进食。近4h内尿量明显减少。查体:体重10kg,面色苍白,精神烦躁,口干,眼眶、前囟凹陷,皮肤弹性略差,四肢稍凉。血钠133mmol/L,血钾3.6mmol/L,血pH7.29,AB16mmol/L,BE-7.6mmol/L。 此时,应选择的治疗方案是
选项 A.10%水合氯醛灌肠 B.呋塞米肌注 C.10%葡萄糖酸钙5~10ml加等量葡萄糖溶液后缓慢静脉注射 D.20%甘露醇静脉滴注 E.3%氯化钠静脉滴注
答案 C
解析
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