患儿,女,9岁,因发现心脏杂音9年,发热20天,抽搐1次入院。在当地县医院住院治疗4

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问题:

患儿,女,9岁,因发现心脏杂音9年,发热20天,抽搐1次入院。在当地县医院住院治疗4天无效。查体:T39℃,P126次/min,R34次/min,体重22kg,神清,精神萎靡,口唇、颜面、睑结膜苍白,消瘦,双肺可闻及粗中湿啰音,心音有力,胸骨左缘第3~4肋间闻及2~3/6收缩期杂音,粗糙,腹软,全腹压痛,未扪及包块,脾左肋下1cm,四肢无异常。

采用联合抗生素治疗3天,仍然发热、咳嗽,体温37.5~38.6℃,进食半流质饮食,无呕吐,再次抽搐1次。下一步治疗应做哪些调整()

A.根据血培养结果更换抗生素

B.介入治疗

C.继续溶栓治疗

D.感染不能控制时可考虑外科摘除赘生物

E.支持治疗

F.应用抗癫痫药物

考点:卫生资格考试(中初级)儿科专业实践能力2016儿科主治医师专业实践能力模拟试题一
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26岁妇女,停经9周, * * 不规则流血2周。诊断侵蚀性葡萄胎伴 * * 转移。处理方案应该是().

A.切除子宫及 * * 壁结节,以免大出血或远处转移

B.清宫术后化疗

C.纠正一般情况,化疗

D.纠正一般情况,放疗

E.给抗生素及纠正贫血后再手术切除子宫,术后化疗

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