患儿,男,8个月。体重8 kg。腹泻3天,大便呈水样,无腥臭味,每日腹泻10余次,伴频繁呕吐。患儿精神欠佳,皮肤弹性差,前囟、眼窝明显凹陷,8小时未排尿,...

作者: tihaiku 人气: - 评论: 0
问题 患儿,男,8个月。体重8 kg。腹泻3天,大便呈水样,无腥臭味,每日腹泻10余次,伴频繁呕吐。患儿精神欠佳,皮肤弹性差,前囟、眼窝明显凹陷,8小时未排尿,测血钠138 mmol/L。医嘱给予静脉补液。 该患儿第一天补液总量应为 ( )
选项 A. 400 ml B. 600 ml C. 800 ml D. 1 000 ml E. 1 400 ml
答案 D
解析 该患儿为中度脱水,体重8 kg,中度脱水第一天补液总量为120 ~ 150 ml/kg,8kg x (120 ~ 150 ml/kg =960?1 200 ml,根据备选答案选择1 000 ml。

相关内容:患儿,8个月,体重,大便,水样,无腥,臭味,余次,呕吐,精神,皮肤,弹性,前囟,眼窝,8小时

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