男,30岁,査血压 160/95mmHg, Hb 85g/L,尿蛋白(+),颗粒管型2?3/HP, BUN 10mmol/L, Cr 220(μmol/L...

作者: rantiku 人气: - 评论: 0
问题 男,30岁,査血压 160/95mmHg, Hb 85g/L,尿蛋白(+),颗粒管型2?3/HP, BUN 10mmol/L, Cr 220(μmol/L, 对该患者不宜采取 A.低蛋白饮食 B.髙蛋白饮食 C.低钠饮食 D.根据尿量多少适当限水 E.低磷饮食
选项
答案 B
解析 患者处于慢性肾衰氮质血症期,髙蛋白饮食可引起BUN水平升高,加重临床症状,不利于降低血镁和减轻酸中毒,增加健存肾单位的负荷 ,加快肾功能的减退。

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