女性,65岁。高血压病史已三十余年,间断服用降压药并查尿常规正常,一月前开始头晕、乏力,双下肢水肿,来院检查,发现尿蛋白(+)~(+++),BUN?17....

作者: rantiku 人气: - 评论: 0
问题 女性,65岁。高血压病史已三十余年,间断服用降压药并查尿常规正常,一月前开始头晕、乏力,双下肢水肿,来院检查,发现尿蛋白(+)~(+++),BUN?17.85mmol/L(50mg/dl),SCr440μmol/L(5mg/dl),Hb85g/L 此时最合适的处理是
选项 A.定期来院进行尿样检查 B.进行肾穿刺活检 C.做双肾B超 D.建议在家中监测血压,每日二次 E.IVP
答案 C
解析

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