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患儿男,9岁,自幼生长缓慢,3岁前的答案

患儿男,9岁,自幼生长缓慢,3岁前多次发生惊厥。来诊时见患儿矮胖,肝大达肋缘下5cm,质中等,空腹血糖为3.0mmol/L,注射肾上腺素后血糖升高甚微。肝活检切片见干细胞内大量PAS阳性物质积聚伴多量脂肪滴。

经肝细胞酶检测发现葡萄糖-6-磷酸酶缺陷,当前的治疗原则为

单选题
2021-07-17 22:02
A、酶替代治疗
B、控制酸中毒
C、进行肝移植
D、首先保持血糖正常并预防和积极治疗感染及控制酸中毒
E、保肝+控制感染和酸中毒
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正确答案
D

试题解析

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