部膨隆,可见肠型,肠鸣音亢进,可闻及气过水声。辅助检查:血红蛋白120g/L,血浆清蛋白32g/L,血清钠134mmol/L,钾6.0mmol/L,动脉血pH值为7.20。该患者的典型心电图改变为
A.T波变宽
B.出现U波
C.高而尖的T波
D.T波双向
E.QT间期延长
- 96、女性,20岁。输血后5分钟出现寒战、高热、腰背剧痛,心前区有压迫感,血浆呈粉红色,血压为80/50mmHg(10.7/6.67kPa)。有关该病人的治疗,正确的是
A.立即停止输液
B.给予苯海拉明25mg口服
C.碳酸氢钠溶液静脉滴注
D.给予地塞米松5mg静注
E.以上均不是
- 97、男性,46岁,体重60kg。因急性肠梗阻3天入院,诉口渴,全身乏力,不能起坐。体检:脉搏100次/分,血压100/60mmHg(13.3/8.0kPa),眼窝凹陷,皮肤弹性差。发病后未进食,24小时尿量1000ml。可能的诊断是
A.高渗性脱水
B.等渗性脱水
C.低渗性脱水
D.继发性脱水
E.缺钠性休克
- 98、女性,37岁,因短肠综合征入院。入院后经颈内静脉插管行全胃肠外营养支持。3周后突然出现寒战、高热,无咳嗽、咳痰。体检,腹部无压痛和反跳痛。最有可能的诊断是
A.肺部感染
B.导管性脓毒症
C.气胸
D.高渗性非酮性昏迷
E.导管折断
- 99、男性,67岁。右下腹痛8天伴呕吐,体温35.0℃,脉搏120次/分,血压80/50mmHg(10.7/6.67kPa),神志不清,烦躁不安,全腹压痛、反跳痛,四肢冰冷、青紫呈花斑发绀,尿量<25ml/小时。3年前有陈旧性心肌梗死。考虑该病人是
A.心源性休克
B.低血容量性休克(中度)
C.低血容量性休克(重度)
D.感染中毒性休克(冷休克)
E.感染中毒性休克(暖休克)
- 100、成人,体重60kg。烧伤,于下午4时,送入医院急诊室,检查:意识清,能合作,心率100次/分,血压120/84mmHg(16.0/11.2kPa),面部、胸、腹部,两前臂、两手及两小腿和足部Ⅱ、Ⅲ度烧伤,下午5时开始静脉输液,6时入手术室、清创,晚上8时送病房。烧伤总面积为
A.47%
B.48%
C.49%
D.50%
E.60%
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