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患者,男,70岁。间断腹胀5年,伴乏力、食欲缺乏、消瘦,3个月来腹胀加重,伴双下肢浮肿,尿少。既往体健,否认外伤、手术史。查体: 慢性病容,浅表淋巴结不大,颈软,颈静脉无怒张, 右下肺呼吸音低,未闻干湿啰音,心律齐,未闻杂音,腹膨隆,可见腹壁静脉曲张,肝脾触诊不满意,腹水征阳性,双下肢可凹性水肿。

问题6:提示:患者经严格限制水钠,并使用速尿160mg/d,安体舒通400mg/d,每天体重下降<500g,还可以选择的治疗方法有

多选题
2021-07-17 22:06
A、腹水浓缩回输
B、腹腔-颈静脉引流术
C、经颈静脉肝内门体分流术
D、大量放腹水3000〜5000ml/d
E、补充白蛋白15〜25g/d
F、输注多巴胺5ug/(kg .min)
G、静脉注射特利加压素
H、增加速尿至200mg/d
I、增加安体舒通至500mg/d
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正确答案
ABCDE

试题解析

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