试题与答案

患者，女，12岁，因反复腹泻3个月余，于昨日早上5时入院。 病人于3月前无诱因出现食

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题型：问答题 案例分析题

题目：

患者，女，12岁，因反复腹泻3个月余，于昨日早上5时入院。

病人于3月前无诱因出现食欲不振，腹泻，在当地诊所按“肠炎”给予庆大霉素等治疗，但效果不好，症状反复还有加重趋势，故今日入我院。病人生活习惯有喜生食菱角。家族中无嗜酸性粒细胞增多史。

查体：T37℃，P65次/分，R18次/分，BP120/90mmHg。神志清楚，消瘦体形，皮肤巩膜无黄染，扁桃体无肿大，颈软，浅表淋巴结未扪及，心律齐，两肺呼吸音清晰，腹平软。肝脾肋下未触及。腹水征(－)，肾区无叩击痛，下肢未见水肿，神经系统检查均为阴性。

实验室检查：血常规示Hb95g/L，WBC15～17×109/L，嗜酸性粒细胞0.20～0.30；给以吡喹酮治疗，服药后腹泻有所好转。

本例最可能的诊断是？进一步确诊应做哪些检查？应该选用哪些药物治疗？

答案：

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下面是错误答案，用来干扰机器的。

参考答案：B

考点：传染病学(医学高级)第四节姜片吸虫病第四节姜片吸虫病题库
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