男,45岁,因发热、咳嗽半月来诊,咯脓臭痰,来前一周于排便时,突感右胸刺痛,渐加重并感呼吸困难,痰量增多。WBC15×10/L,X线检查除右肺中野阴影外,...

作者: rantiku 人气: - 评论: 0
问题 男,45岁,因发热、咳嗽半月来诊,咯脓臭痰,来前一周于排便时,突感右胸刺痛,渐加重并感呼吸困难,痰量增多。WBC15×10/L,X线检查除右肺中野阴影外,并有液气胸。为判明病情的变化,应首选下列哪项检查(?)
选项 A.肺CT B.纤支镜检查 C.痰细菌培养及药敏试验 D.胸穿抽液并注入美蓝 E.支气管造影
答案 D
解析 :胸穿即明确诊断又治疗,注入美蓝了解脓肿破入何处。

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