患者,女性,66岁,因突发神志不清,四肢抽搐半小时入院,急诊予心电监测,吸氧,开通静脉。查体:体温37.2℃,血压89/52mmHg,心率104次/分,呼...

作者: rantiku 人气: - 评论: 0
问题 患者,女性,66岁,因突发神志不清,四肢抽搐半小时入院,急诊予心电监测,吸氧,开通静脉。查体:体温37.2℃,血压89/52mmHg,心率104次/分,呼吸不规则,32次/分,双眼向上凝视,双瞳孔等大等圆,直径2.5mm,对光反射存在,口唇无发绀,口角无歪斜,颈软,双肺呼吸音清,未闻及啰音;心律不齐,未闻及杂音,腹平软,双下肢无水肿,双Babinski征阳性。血常规、电解质正常,PT/APTT正常,TroponinⅠ阴性,头颅CT无殊,心电图示:房颤心律,V导联ST段上抬1.5mV,心脏超声:EF42%,室壁活动尚可,室间隔运动减弱。 下一步的处理首先应该考虑
选项 A.多巴胺升高血压 B.尿激酶溶栓 C.胺碘酮(可达龙)150mg静脉推注 D.直流电电除颤 E.洋地黄强心治疗
答案 B
解析

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