试题与答案

女性,72岁,胃黏液癌,胃大部切除术后第3天患者出现意识模糊。查体:呼吸浅快,23/

题型:多项选择题 案例分析题

题目:

女性,72岁,胃黏液癌,胃大部切除术后第3天患者出现意识模糊。查体:呼吸浅快,23/分钟,低流量吸氧,2L/分钟,氧饱和度96%,心率105/分钟,血压120/65mmHg,神志模糊,双侧瞳孔等大同圆,双肺呼吸音清,双下肺可闻及少量湿落音,双侧巴宾斯基征阴性。白细胞12.0×109/L,中性粒细胞0.89。

患者查血糖2.0mmol/L,pH7.35,PaCO230mmHg,PaO285mmHg,头颅CT未见明显异常。结合患者现有情况,目前的处理措施是()

A.50%葡萄糖20ml静脉注射

B.静脉滴注10%葡萄糖500ml

C.30分钟后复测血糖

D.每隔1~2小时复测血糖

E.进食普通流质饮食

F.密切观察神志、瞳孔

G.20%甘露醇125ml静脉滴注

H.地塞米松10mg静脉注射

I.经胃管滴注葡萄糖

答案:

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参考答案:临界电流密度

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