患儿女，7个月。腹泻3天，大便水样，10余次/天，半天无尿。体检:呼吸深，前囟、眼眶深度凹陷，皮肤弹性极差，有花纹，四肢凉。血Na+135mmol/L，血...

作者: tihaiku 人气: - 评论: 0

问题患儿女，7个月。腹泻3天，大便水样，10余次/天，半天无尿。体检:呼吸深，前囟、眼眶深度凹陷，皮肤弹性极差，有花纹，四肢凉。血Na+135mmol/L，血K+3.8mmol/L，BE -20mmol/L。脱水、代谢性酸中毒纠正后，出现腹胀、肠鸣音减弱、心音低钝、腱反射消失。应考虑

选项 A、低钙血症 B、低镁血症 C、低钠血症 D、高钠血症 E、低钾血症

答案 E

解析前囟、眼眶深度凹陷，皮肤弹性极差，有花纹，四肢凉，半天无尿提示重度脱水。一般补充液体总量：轻度脱水90～120ml/kg；中度脱水120～150ml/kg；重度脱水150～180ml/kg。脱水性质不明时，先按等渗脱水选择补液种类。扩容用等张含钠液。即等渗脱水用1/2张含钠液。缺钾可引起肠蠕动减弱，轻者有食欲不振、恶心、便秘，严重低血钾可引起腹胀、麻痹性肠梗阻。肠鸣音消失等肠麻痹表现怀疑钾从肾外途径丧失。

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错误位置

#119	include KONG_PATH.'cache/'.$classname.'.class.php';
#120	}elseif(is_file(KONG_PATH.'ext/'.$classname.'.class.php')) {
#121	include KONG_PATH.'ext/'.$classname.'.class.php';
#122	}else{
#123	throw new Exception("类 $classname 不存在");
#124	}
#125	DEBUG && $_ENV['_include'][] = $classname.' 类';
#126	return class_exists($classname, false);
#127	}
#128

程序流程

#0 [internal function]: core::autoload_handler('cms_content_vie...')

#1 /www/wwwroot/qiakao.com/twcms/kongphp/base/core.class.php(322): spl_autoload_call('cms_content_vie...')

#2 /www/wwwroot/qiakao.com/twcms/kongphp/base/control.class.php(16): core::model('cms_content_vie...')

#3 /www/wwwroot/qiakao.com/twcms/runtime/twcms_view/default,article_show.htm.php(439): control->__get('cms_content_vie...')

#4 /www/wwwroot/qiakao.com/twcms/runtime/twcms_view/default,article_show.htm.php(680): kp_block_list_top(Array)

#5 /www/wwwroot/qiakao.com/twcms/kongphp/base/view.class.php(29): include('/www/wwwroot/qi...')

#6 /www/wwwroot/qiakao.com/twcms/kongphp/base/control.class.php(29): view->display('article_show.ht...')

#7 /www/wwwroot/qiakao.com/twcms/runtime/twcms_control/show_control.class.php(46): control->display('article_show.ht...')

#8 /www/wwwroot/qiakao.com/twcms/kongphp/base/core.class.php(229): show_control->index()

#9 /www/wwwroot/qiakao.com/twcms/kongphp/base/core.class.php(17): core::init_control()

#10 /www/wwwroot/qiakao.com/twcms/kongphp/kongphp.php(67): core::start()

#11 /www/wwwroot/qiakao.com/index.php(32): require('/www/wwwroot/qi...')

#12 {main}

SQL

#0 [time:0.0003s] SET character_set_connection=utf8, character_set_results=utf8, character_set_client=binary, sql_mode=''

#1 [time:0.0029s] SELECT * FROM tw_cms_article_data_4 WHERE id='1461756' LIMIT 1 [explain type: const | rows: 1]

#2 [time:0.0005s] SELECT id FROM tw_cms_article WHERE cid='311' AND id<'1461756' ORDER BY id DESC LIMIT 0,1 [explain type: range | rows: 514]

#3 [time:0.0015s] SELECT * FROM tw_cms_article WHERE id='1461755' LIMIT 1 [explain type: const | rows: 1]

#4 [time:0.0004s] SELECT id FROM tw_cms_article WHERE cid='311' AND id>'1461756' ORDER BY id ASC LIMIT 0,1 [explain type: range | rows: 2924]

#5 [time:0.0004s] SELECT * FROM tw_cms_article WHERE id='1461757' LIMIT 1 [explain type: const | rows: 1]

#6 [time:0.0003s] SELECT COUNT(*) AS num FROM tw_cms_article [explain type: | rows: ]

#7 [time:0.0003s] SET character_set_connection=utf8, character_set_results=utf8, character_set_client=binary, sql_mode=''

#8 [time:0.0047s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#9 [time:0.0015s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#10 [time:0.0008s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#11 [time:0.0013s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#12 [time:0.0012s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#13 [time:0.0027s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#14 [time:0.0015s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#15 [time:0.0038s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#16 [time:0.0017s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

#17 [time:0.0004s] SELECT * FROM `tw_cms_article` AS t1 JOIN (SELECT ROUND(RAND() * ((SELECT MAX(id) FROM `tw_cms_article`)-(SELECT MIN(id) FROM `tw_cms_article`))+(SELECT MIN(id) FROM `tw_cms_article`)) AS id) AS t2 WHERE t1.id >= t2.id ORDER BY t1.id LIMIT 1 [explain type: system | rows: 1]

包含文件

#0 /www/wwwroot/qiakao.com/index.php

#1 /www/wwwroot/qiakao.com/twcms/kongphp/kongphp.php

#2 /www/wwwroot/qiakao.com/twcms/config/config.inc.php

#3 /www/wwwroot/qiakao.com/twcms/kongphp/base/base.func.php

#4 /www/wwwroot/qiakao.com/twcms/kongphp/base/core.class.php

#5 /www/wwwroot/qiakao.com/twcms/kongphp/base/debug.class.php

#6 /www/wwwroot/qiakao.com/twcms/kongphp/base/log.class.php

#7 /www/wwwroot/qiakao.com/twcms/kongphp/base/model.class.php

#8 /www/wwwroot/qiakao.com/twcms/kongphp/base/view.class.php

#9 /www/wwwroot/qiakao.com/twcms/kongphp/base/control.class.php

#10 /www/wwwroot/qiakao.com/twcms/kongphp/db/db.interface.php

#11 /www/wwwroot/qiakao.com/twcms/kongphp/db/db_mysql.class.php

#12 /www/wwwroot/qiakao.com/twcms/kongphp/cache/cache.interface.php

#13 /www/wwwroot/qiakao.com/twcms/kongphp/cache/cache_memcache.class.php

#14 /www/wwwroot/qiakao.com/twcms/config/plugin.inc.php

#15 /www/wwwroot/qiakao.com/twcms/plugin/editor_um/conf.php

#16 /www/wwwroot/qiakao.com/twcms/plugin/import_data/conf.php

#17 /www/wwwroot/qiakao.com/twcms/plugin/tw_links/conf.php

#18 /www/wwwroot/qiakao.com/twcms/plugin/wt_related/conf.php

#19 /www/wwwroot/qiakao.com/twcms/runtime/twcms_control/parseurl_control.class.php

#20 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/runtime_model.class.php

#21 /www/wwwroot/qiakao.com/twcms/kongphp/cache/cache_redis.class.php

#22 /www/wwwroot/qiakao.com/twcms/runtime/twcms_control/show_control.class.php

#23 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/category_model.class.php

#24 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/cms_content_model.class.php

#25 /www/wwwroot/qiakao.com/twcms/runtime/twcms_view/default,article_show.htm.php

#26 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/cms_content_data_model.class.php

#27 /www/wwwroot/qiakao.com/twcms/kongphp/db/db_mysqli.class.php

#28 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/kv_model.class.php

#29 /www/wwwroot/qiakao.com/twcms/runtime/twcms_model/cms_content_views_model.class.php

#30 /www/wwwroot/qiakao.com/twcms/kongphp/tpl/exception.php

患儿女，7个月。腹泻3天，大便水样，10余次/天，半天无尿。体检:呼吸深，前囟、眼眶深度凹陷，皮肤弹性极差，有花纹，四肢凉。血Na+135mmol/L，血...

相关内容：儿女,7个月,大便,水样,余次,无尿,呼吸,前囟,眼眶,深度,皮肤,弹性,花纹,四肢,Na+135mmol

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