[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f4spXStMLUAdpT2QjOkEVkvvthMuK5mBENvmNpp9VFJs":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2025-05-31 13:18:47",192573301,[8,9,10,11,12],"低钾血症","低氯血症","低钙血症","低磷血症","低镁血症",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},100,"41638ab23f77cfab2a03dad3984708a7","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F34afe9e40aa191cab52c0b11067d9140.jpg","儿科学","work_43807059","作业4","6个月婴儿,吐、泻3天,大便10—15次\u002F日,呈蛋花汤样,有腥臭味,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检wBc偶见.血清钠135mmol\u002FL.如果患儿在输液后出现乏力、腹胀、肠鸣音减弱、双膝腱反射消失、心音低钝先应该考虑的诊断是",[22,35,46,56,66,73,84,94,100,110],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2025-05-31 13:18:44",192573290,[27,28,29,30,31],"先锋必","克霉唑","庆大霉素","病毒唑","增加辅食及助消化药物","2个月患儿,发热10天,在外用多种抗生素,3日来腹泻,每日7~8次,大便含泡沫多,成豆腐渣样,不吐,尿不少,来急诊.查体:精神可,眼窝、前囟略凹,舌略干,口腔粘膜有白色凝乳状物,心肺腹(-).治疗应选用","v1",0,{"answer":36,"createTime":37,"id":38,"options":39,"question":45,"source":33,"type":34},[],"2025-05-31 13:18:45",192573291,[40,41,42,43,44],"中度等渗性脱水","重度等渗性脱水","中度低渗性脱水","重度低渗性脱水","中度高渗性脱水","6个月患儿吐、泻3天,大便10~15次\u002F天,呈蛋花汤样,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检偶见白细胞,血清钠135mmol\u002FL.应诊断为",{"answer":47,"createTime":37,"id":48,"options":49,"question":55,"source":33,"type":34},[],192573292,[50,51,52,53,54],"金黄色葡萄球菌","白色念珠菌","难辨梭状芽胞杆菌","产毒性大肠杆菌","耶尔森菌","6个月患儿吐、泻3天,大便10~15次\u002F天,呈蛋花汤样,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检偶见白细胞,血清钠135mmol\u002FL.该患儿腹泻的病原以哪一种致病微生物所致的可能性较大",{"answer":57,"createTime":37,"id":58,"options":59,"question":65,"source":33,"type":34},[],192573293,[60,61,62,63,64],"5%葡萄糖盐水","复方氯化钠溶液","生理维持液","1\u002F2张含钠液","2\u002F3张含钠液","6个月患儿吐、泻3天,大便10~15次\u002F天,呈蛋花汤样,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检偶见白细胞,血清钠135mmol\u002FL.接着应继续补充何种液体纠正脱水",{"answer":67,"createTime":37,"id":68,"options":69,"question":72,"source":33,"type":34},[],192573294,[70,71,42,40,44],"轻度等渗性脱水","轻度低渗性脱水","7个月患儿吐泻2天,呼吸46次\u002F分,脉搏140次\u002F分,前囟2×2.5cm,明显凹陷,皮肤弹性较差,心音稍钝,血清钠155mmol\u002FL,血清钾4 mmol\u002FL,CO2CP 11.3 mmol\u002FL.此儿脱水的程度及性质应考虑为",{"answer":74,"createTime":75,"id":76,"options":77,"question":83,"source":33,"type":34},[],"2025-05-31 13:18:46",192573295,[78,79,80,81,82],"低血糖","低血钙","低血钾","低血镁","低血磷","7个月患儿吐泻2天,呼吸46次\u002F分,脉搏140次\u002F分,前囟2×2.5cm,明显凹陷,皮肤弹性较差,心音稍钝,血清钠155mmol\u002FL,血清钾4 mmol\u002FL,CO2CP 11.3 mmol\u002FL.患儿在维持补液阶段出现精神萎靡,腹胀,肠鸣音减弱,四肢无力,腱反射消失.此时应考虑患儿有",{"answer":85,"createTime":75,"id":86,"options":87,"question":93,"source":33,"type":34},[],192573296,[88,89,90,91,92],"查脑脊液,排除颅内感染","测血糖","测血清钙、镁","查血常规","作脑电图检查","7个月患儿吐泻2天,呼吸46次\u002F分,脉搏140次\u002F分,前囟2×2.5cm,明显凹陷,皮肤弹性较差,心音稍钝,血清钠155mmol\u002FL,血清钾4 mmol\u002FL,CO2CP 11.3 mmol\u002FL.如患儿在第2天补液中先后惊厥2次,每次持续3~5分钟后自行缓解,抽搐停止后神志清楚.根据该患儿惊厥原因应首先作哪项检查",{"answer":95,"createTime":75,"id":96,"options":97,"question":99,"source":33,"type":34},[],192573298,[40,42,43,41,98],"重度高渗性脱水","6个月婴儿,吐、泻3天,大便10—15次\u002F日,呈蛋花汤样,有腥臭味,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检wBc偶见.血清钠135mmol\u002FL.患儿脱水的程度及性质为",{"answer":101,"createTime":75,"id":102,"options":103,"question":109,"source":33,"type":34},[],192573299,[104,105,106,107,108],"2:1等张含钠液20ml\u002Fkg","2:1等张含钠液100~120ml\u002Fkg","1\u002F2张含钠液100~1201\u002Fkg","2\u002F3张含钠液50~100ml\u002Fkg","1\u002F2张含钠液50~100ml\u002Fkg","6个月婴儿,吐、泻3天,大便10—15次\u002F日,呈蛋花汤样,有腥臭味,尿量极少,皮肤弹性差,可见花纹,前囟、眼窝明显凹陷,四肢厥冷,大便镜检wBc偶见.血清钠135mmol\u002FL.对患儿进行液体治疗,首批静脉输液应给予",{"answer":111,"createTime":5,"id":6,"options":112,"question":20,"source":33,"type":34},[],[8,9,10,11,12]]