某患者慢性肾炎肾功能不全已数年,再次出现尿毒症酸中毒入院。尿量显著减少,应用利尿剂效果不佳,血压23.9/16.0kPa,BUN28mmol/L,COCP...

作者: rantiku 人气: - 评论: 0
问题 某患者慢性肾炎肾功能不全已数年,再次出现尿毒症酸中毒入院。尿量显著减少,应用利尿剂效果不佳,血压23.9/16.0kPa,BUN28mmol/L,COCP14mmol/L.给小剂量的碳酸氢钠静脉滴注后,出现呼吸困难,心率达120次/分,肺底少许水泡音。该病人进一步的处理应选择 ( )
选项 A、改用利尿合剂 B、强心降压后进行透析治疗 C、改用口服碱性药物 D、改用THAM E、改用乳酸钠纠正酸中毒
答案 B
解析

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