男孩,1岁半。近3d来频繁呕吐伴惊厥,意识由嗜睡至昏迷。肝肋下4cm。GPT

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问题:


男孩,1岁半。近3d来频繁呕吐伴惊厥,意识由嗜睡至昏迷。肝肋下4cm。GPT 80 U,血糖1.4mmol/L(25mg/dl),临床诊断为瑞氏综合征。

该患儿进一步化验凝血酶原时间为18s,血清钠130mmol/L,钾4mmol/L,氯108mmol/L,钙 2.3mmol/L,血pH7.32,PaC0260mmHg,Pa0245 mmHg,BE-4mmol/L。下列哪项治疗方法正确

A.纠正低血糖,每日静脉输入10%葡萄糖溶液1400ml/m2体表面积

B.降血氨可用腹膜透析及新鲜血液交换输血

C.维持电解质和酸碱平衡

D.维生素K静脉注射,纠正低凝血酶原

E.静脉应用广谱抗生素,且对肝、肾无影响的药物控制脑水肿抢救中可使用水杨酸或酚噻嗪类药物苯巴比妥控制惊厥发作,可减少脑组织代谢率,对大脑起保护作用

考点:卫生资格考试(中初级)儿科专业实践能力儿科主治医师专业实践能力3
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[ ]

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