试题与答案

患儿女,5岁,因“咳嗽2d,喘促1d”急诊来院。既往有过数次类似发作,均住院“输液”

题型:单项选择题 案例分析题

题目:

患儿女,5岁,因“咳嗽2d,喘促1d”急诊来院。既往有过数次类似发作,均住院“输液”缓解。对青霉素过敏。查体:T36.5℃,P112次/min,R42次/min;强迫坐位,痛苦面容,意识清楚,口唇发绀;胸廓略呈桶状,呼气性呼吸困难,双肺叩诊过清音,肝上界位于第6肋间,双肺满布哮鸣音。

此时的治疗措施是(提示经过积极处理,患儿肺部哮鸣音不明显,但发绀加重。)()

A.病情基本稳定继续原治疗

B.改面罩给氧

C.加大氧流量

D.气管插管,机械通气

E.加强叩背吸痰

F.雾化氨溴索

G.20min后再雾化吸入β2-受体激动药

答案:

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