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【单选题】
患者，男性，76岁。确诊糖尿病肾病3年，夜间阵发性呼吸困难1，血压170／100mmHg，两肺底湿啰音，心率100次／分，双下肢水肿，血尿素氮35mmol／L，肌酐1210μmol／L。此时最宜采取的治疗措施是
A.
积极补充血容量
B.
5％碳酸氢钠250ml静脉滴注
C.
腹膜透析
D.
血液透析
E.
利尿、扩血管治疗
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