患者男性,23岁,车祸致脾破裂出血,急诊行脾切除,术后送入ICU。监护示:心率130次/分,血压95/60mmHg。血气示pH7.256,PCO30mmH...

作者: rantiku 人气: - 评论: 0
问题 患者男性,23岁,车祸致脾破裂出血,急诊行脾切除,术后送入ICU。监护示:心率130次/分,血压95/60mmHg。血气示pH7.256,PCO30mmHg,BE?-10mmol/L,SB18mmol/L。 诊断首先考虑为
选项 A.失代偿性呼吸性酸中毒 B.代谢性酸中毒合并呼吸性酸中毒 C.代谢性酸中毒合并代谢性碱中毒 D.失代偿性代谢性酸中毒 E.失血性休克
答案 D
解析

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