胎龄35周,顺产、生后4小时出现呼吸急促伴青紫。体检:呼吸68次/分,有吸气性凹陷,两肺粗湿性啰音,胸骨左缘第2肋间Ⅰ~Ⅱ级收缩期杂音,心率148次/分,...

作者: rantiku 人气: - 评论: 0
问题 胎龄35周,顺产、生后4小时出现呼吸急促伴青紫。体检:呼吸68次/分,有吸气性凹陷,两肺粗湿性啰音,胸骨左缘第2肋间Ⅰ~Ⅱ级收缩期杂音,心率148次/分,律整。头罩吸氧后,测血气分析:pH7.32,PaO6.2kPa,PaCO7.2kPa。胸部X线片示普遍性透亮度减低,有均匀散在的颗粒和网片状阴影及支气管充气征。 体检中最能支持诊断的发现是()
选项 A.肝脾肿大 B.皮肤苍白,贫血貌 C.心音低钝,心率增快 D.反射和肌张力减低 E.脐部有脓性分泌物
答案 E
解析

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