患者,男,42岁,呕吐、腹泻2天,意识模糊、烦躁不安半天急诊人院。查体:BP110/70mmHg,神志恍惚,巩膜中度黄染,颈部可见数枚蜘蛛痣;心肺未见异常...

作者: tihaiku 人气: - 评论: 0
问题 患者,男,42岁,呕吐、腹泻2天,意识模糊、烦躁不安半天急诊人院。查体:BP110/70mmHg,神志恍惚,巩膜中度黄染,颈部可见数枚蜘蛛痣;心肺未见异常,腹软,肝肋下未触及,脾肋下3cm,双上肢散在出血点;Hb 90g/L,WBC 3. 2X109/L,血糖7.0mmol/L,尿糖(+),尿酮(-),尿镜检(-)。最可能的诊断是
选项 A.肝性脑病 B.糖尿病酮症酸中毒 C.高渗性非酮症糖尿病昏迷 D.尿毒症 E.脑血管病
答案 A
解析

相关内容:患者,呕吐,意识,急诊,人院,70mmHg,神志,巩膜,黄染,颈部,数枚,蜘蛛,心肺

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