慢性肾炎、肾功能不全病史已数年,半月来尿量明显减少,强心利尿效果不佳,血压为24/16kPa(180/120mmHg),B?UN29.3mmol/L(11...

作者: rantiku 人气: - 评论: 0
问题 慢性肾炎、肾功能不全病史已数年,半月来尿量明显减少,强心利尿效果不佳,血压为24/16kPa(180/120mmHg),B?UN29.3mmol/L(110mg/dl),血Cr884μmol/L(10mg/dl),COCP13.2mmol/L(30VOL%),给小剂量碳酸氢钠静滴后,出现呼吸困难,心率达128次/分,肺底少许湿啰音。最好选择
选项 A.改用乳酸钠 B.改用口服碱性药物 C.改用利尿合剂 D.给10%葡萄糖酸钙 E.紧急血液透析
答案 E
解析

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