患者,男性,36岁,中午饮酒后2小时突然上腹部剧痛,伴恶心、呕吐,即来院急诊,检查:体温37.9℃,脉率94次/分,呼吸21次/分,血压17.2/10.9...

作者: rantiku 人气: - 评论: 0
问题 患者,男性,36岁,中午饮酒后2小时突然上腹部剧痛,伴恶心、呕吐,即来院急诊,检查:体温37.9℃,脉率94次/分,呼吸21次/分,血压17.2/10.9 kPa(129/82 mmHg);血白细胞计数13.6×10/L,血清淀粉酶625u/L(苏氏法)。 目前存在的护理诊断是 ( )
选项 A、有发生休克的可能 B、有呼吸衰竭的可能 C、疼痛 D、体液不足 E、体温升高
答案 CDE
解析 CDE

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