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孕妇,24岁,妊娠37。查体:BP 100/60mmHg;颈外静脉略有充盈;双肺呼吸,无啰音;HR 96次/分,律齐,心尖区可闻及2~3/6级收缩期吹风样杂音,收缩期第一心音高调或分裂。血气分析:PH 7.405,PaCO2 32mmHg,PaO292mmHg,HCO3-16mmol/L。Scr130mmol/L。血WBC12×109/L。纤维蛋白原5~6g/L。血中ALP增高1倍,LDH、AST、ALT均略升高。 据上述分析,初步诊断可能是()。 A.肝功能异常 B.急性感染性疾病 C.肾功能不全 D.心脏瓣膜病 E.呼吸性碱中毒 应当采取的措施是()。A.保肝治疗 B.明确肾功能不全的原因 C.防血栓形成措施 D.询问心脏病病史 E.抗感染治疗 如果需要剖宫产,正确的麻醉处理是()A.首选全身麻醉 B.椎管内麻醉药量要比常规减少1/3 C.不能使用肌肉松弛药 D.平卧时应向右倾斜15° E.为高危血栓发生者,术后开始治疗
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no more slimmer as
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