[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fKJAJfJNYykGFVA7DI_0tPCukvAIaaUb11H7n8jdVUmA":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2024-10-21 17:28:32",162533458,[8,9,10,11,12],"胸部X线片","脑脊液检查","血沉","头颅CT","脑电图",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},342,"4eb0ce1ae5c945df0860441155816145","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F48eba3395437dd881b1b9275a0ad1028.png","儿科学","work_37779471","儿科学作业8","女孩,5岁.精神欠佳半个月,发热、头痛、呕吐10天.半个月前开始出现精神不佳,10天来每天发热,最高体温38、1℃,进食减少,伴头痛呕吐.2个月前曾患"麻疹".查体:精神差,消瘦,右眼外展受限,颈抵抗(+),Kernig征(+),Brudzinski征(+).PDD试验(-).为明确诊断首选的检查是( )",[22,35,45,55,65,75,85,95,105,115],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2024-10-21 17:28:30",162533260,[27,28,29,30,31],"重度等渗性","中度等渗性","中度低渗性","中度高渗性","重度低渗性","女婴,10个月.腹泻3天,加重2天.暗红色水样便每日10余次,量多,腥臭,伴高热、呕吐、少尿.查体:精神萎靡,呈嗜睡状,前囟眼窝凹陷,皮肤弹性差,心音较低钝,腹胀,肝脾不大.实验室检查:粪镜检有大量脓血细胞,血钠135mmol\u002FL,血钾3.5mmol\u002FL.该患儿腹泻脱水的程度与性质应是","v1",0,{"answer":36,"createTime":24,"id":37,"options":38,"question":44,"source":33,"type":34},[],162533261,[39,40,41,42,43],"轮状病毒肠炎","大肠埃希菌肠炎","金黄色葡萄球菌肠炎","细菌性痢疾","真菌性肠炎","女婴,10个月.腹泻3天,加重2天.暗红色水样便每日10余次,量多,腥臭,伴高热、呕吐、少尿.查体:精神萎靡,呈嗜睡状,前卤眼窝凹陷,皮肤弹性差,心音较低钝,腹胀,肝脾不大.实验室检查:粪镜检有大量脓血细胞,血钠135mmol\u002FL,血钾3.5mmol\u002FL.患儿最可能的诊断是",{"answer":46,"createTime":24,"id":47,"options":48,"question":54,"source":33,"type":34},[],162533262,[49,50,51,52,53],"160~180ml","70~110ml","120~150ml","30~60ml","190~220ml","女婴,10个月.腹泻3天,加重2天.暗红色水样便每日10余次,量多,腥臭,伴高热、呕吐、少尿.查体:精神萎靡,呈嗜睡状,前卤眼窝凹陷,皮肤弹性差,心音较低钝,腹胀,肝脾不大.实验室检查:粪镜检有大量脓血细胞,血钠135mmol\u002FL,血钾3.5mmol\u002FL.施行液体疗法,第一天补液的总量应是每公斤体重",{"answer":56,"createTime":24,"id":57,"options":58,"question":64,"source":33,"type":34},[],162533263,[59,60,61,62,63],"低钾血症","低钙血症","低磷血症","低镁血症","低钠血症","男婴,8个月.腹泻伴呕吐3天,无尿6小时.大便10-15次\u002F天,呈蛋花汤伴黏液,有腥臭味.查体T37.8℃.表情淡漠,前囟、眼窝明显凹陷,皮肤弹性差,可见花纹,四肢厥冷,双肺呼吸音清,心率120次\u002F分,腹软,无明显压痛.实验室检查:粪镜检偶见白细胞,血钠134mmol\u002FL.患儿输液后出现腹胀,肠鸣音减弱,膝腱反射消失.首先考虑的诊断是",{"answer":66,"createTime":24,"id":67,"options":68,"question":74,"source":33,"type":34},[],162533264,[69,70,71,72,73],"先天性肠闭锁","功能性便秘","肠套叠","先天性肥厚性幽门狭窄","先天性巨结肠","某患儿,生后48小时内无胎便,之后出现腹胀明显,大便难解,需灌肠.该患儿可能的诊断是",{"answer":76,"createTime":24,"id":77,"options":78,"question":84,"source":33,"type":34},[],162533265,[79,80,81,82,83],"急性支气管肺炎","急性左心衰","支气管哮喘","过敏性肺炎","支气管异物","男孩,1岁.发热伴咳嗽3天,食欲差.偶有呕吐,嗜睡,抽搐2次,双肺可闻及中细湿啰音,心率110次\u002F分,呼吸56次\u002F分,肝肋下1cm,白细胞4×10⁹\u002FL.目前的主要诊断为",{"answer":86,"createTime":24,"id":87,"options":88,"question":94,"source":33,"type":34},[],162533266,[89,90,91,92,93],"溶血性链球菌","腺病毒","柯萨奇病毒","副流感病毒","流感嗜血杆菌","男婴,9个月.发热3天,烦躁、流涎1天.查体:一般状态可,前囟平坦,咽部充血,咽峡及软腭部可见直径2~3mm的疱疹及溃疡,颈部无抵抗,心、肺听诊正常.其病原体最可能为",{"answer":96,"createTime":24,"id":97,"options":98,"question":104,"source":33,"type":34},[],162533267,[99,100,101,102,103],"生后1~2岁","生后3~4个月","生后3个月内","生后5~7个月","生后8~10个月","80%的小儿动脉导管解剖上关闭的时间是",{"answer":106,"createTime":24,"id":107,"options":108,"question":114,"source":33,"type":34},[],162533268,[109,110,111,112,113],"脑栓塞","休克","脑脓肿","缺氧发作","心力衰竭","男婴,6个月.出生时诊断为"法洛四联症".近2天常于哭闹时突然四肢抽搐,青紫加重,神志不清,呼吸急促,持续时间约2~3分钟.首先应考虑为",{"answer":116,"createTime":24,"id":117,"options":118,"question":124,"source":33,"type":34},[],162533269,[119,120,121,122,123],"呋塞米","毛花苷丙","硝普钠","低分子右旋糖酐","糖皮质激素","男孩,8岁.水肿5天,血尿、少尿3天入院.查体:P110次\u002F分,R32次\u002F分,BP140\u002F90mmHg,烦躁,颜面、双下肢明显水肿,双肺底可闻及少量湿啰音,肝肋下2cm.尿常规:蛋白(++),RBC 70~80个\u002FHP.WBC 40~50个\u002FHP.首选的治疗药物是"]