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【单选题】
患者男性,21岁,因便血1,反复神志障碍2天入院。1年前经双气囊小肠镜检查诊断为小肠克罗恩病。查体:血压95/45mmHg,心率138/分钟,体温36.8℃,呼吸22/分钟。神志模糊,稍烦躁,消瘦体型,营养差,全身皮肤黏膜苍白,湿冷,末梢发绀明显。肠鸣音活跃,肛门可见大量血性液体和血块排出。白细胞2.77×10 9 /L;红细胞2.67×10 12 /L;血红蛋白78g/L。入院后急诊行腹腔血管造影术,提示肠系膜动脉空肠支破裂出血,将空肠支栓塞处理。现患者轻微腹胀感,肠鸣音2/分钟,无恶心、呕吐,解大便1次,量正常,隐血阴性。当前患者营养支持原则为()
A.
继续肠外营养支持,等待腹部情况完全好转
B.
试用肠内营养,逐渐减少肠外营养用量
C.
中心静脉营养向周围静脉营养转换
D.
停止使用肠外营养
E.
静脉补充葡萄糖和电解质,并进行肠内营养
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