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患者男性，14岁，因“头晕1，加重伴胸闷、发现肌酐升高1日”来诊。入院前1，患者无明显诱因出现头晕，未予以重视，未治疗。入院前1日，感头晕加重，伴胸闷，当地医院诊断为“肾功能不全”。查体：体温36 ℃，脉搏102次/分，呼吸21次/分，血压152/92 mmHg（1 mmHg=0.133 kPa）。急性病容，贫血貌。初步诊断：尿毒症。实验室检查：血常规示血红蛋白53 g/L；血生化示白蛋白32.9 g/L，尿素41.20 mmol/L，肌酐938.0 μmol/L，血清胱C 5.00 mg/L，尿酸616.2 μmol/L，血钾5.83 mmol/L，血钙1.02 mmol/L，血清无机磷2.39 mmol/L；凝血常规示凝血酶原时间14.0 秒，国际标准化比（INR）1.25，D-二聚体0.62 mg/L；尿蛋白/尿肌酐比值为0.528 g/mmol，尿蛋白定量1.62 g/L，肾小球滤过率10.21 ml/min（1.73 m2）。确诊：慢性肾功能不全（CKD5期）、肾性贫血。给予输血、利尿、补钙、纠正酸碱电解质紊乱等对症支持治疗，并行透析治疗。用药医嘱：①碳酸钙D3片600 mg，口服，每夜1次；②多糖铁复合物胶囊150 mg，口服，每日1次；③药用炭片4片，口服，每日3次；④硝苯地平控释片30 mg，口服，每日1次。属于口服肠道透析制剂的是A、包醛氧淀粉 B、聚乙二醇 C、乳果糖 D、药用炭片 E、硫糖铝 F、多糖铁 根据美国肾病与透析患者生存质量指导指南，CKD5期接受透析的高血压患者，首选降压药应为A、β受体阻滞剂或利尿剂 B、血管紧张素转化酶抑制剂/血管紧张素受体阻断剂（ACEI/ARB） C、ACEI/ARB/钙通道阻滞剂（CCB） D、ACEI/ARB＋利尿剂 E、ACEI/ARB/CCB＋利尿剂 F、除利尿剂外任何降压药 透析患者不应接受补铁治疗的情况是A、铁蛋白＞200μg/L B、铁蛋白＞400μg/L C、铁蛋白＞600μg/L D、铁蛋白＞800μg/L E、转铁蛋白饱和度＞20% F、转铁蛋白饱和度＞30%
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相关题目：
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B.
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struggle; pull her up
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