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慢性肾功能衰竭复习题(国外英文资料)
慢性肾功能衰竭复习题(国外英文资料)
Chronic kidney failure
Female, 52 years old, chronic kidney glomerulonephritis, azohyremia, nearly 1 week, fever, cough, sputum, breathing significant. T 38.5 ℃, the Bp 21/13 kpa, P 120 / cent, double lung wet sound. Blood gas analysis: pH7.31, PCO2 1OkPa, PO2, 12kPa, hco3-17mnol/L, BE -9, TCO2 28kPa, and the patients balance disorder:
A, respiratory acidosis? B, respiratory acidosis and metabolic alkalosis
C, metabolic acidosis? D, metabolic acidosis, and respiratory alkalosis
E, metabolic acidosis, and respiratory acidosis
The main reason for anemia in urea patients is:
A, poisons suppress bone marrow hematopoiesis???? B, red blood cell life is shortened
C, nutrient deficient iron, low protein? D, erythropoietin decreases
E, bleeding from the intestinal ulcer causes blood to be lost
Female, 42 years old, fever companion cough 1 week, urine 2 days, past history is unknown. Initial inspection: HB61g/L, BUN tendency for 54.1 / L, SCr 921 mu mol/L, blood calcium tendency for 1.34 / L, blood phosphorus tendency for 3.32 / L, serum albumin, 28 1 g/L g/L of urine protein, urine red blood cell 3 ~ 5 / Hp, preliminary diagnosis to consider is:
A, acute glomerulonephritis? B, acute pyelonephritis? C, acute renal failure? D, chronic pyelonephritis? E, chronic kidney failure
The main causes of chronic renal failure are:
A, anemia??????? B, urea toxin causes marrow suppression
C, reduction in plasma albumin? D, metabolic acidosis
E, immune function decreases, leukocyte function is abnormal
5, male. 30, nocturia increased 2 years with edema, often feel dizziness have a headache, 2 days ago in a coma, less urine, blood pressure is 24/13 kpa, heart rate 120 times/min, the law of qi, the area before the heart can smell and fibrin often, 2 14 lung wet then sound, just and liver rib. Urine weight 1.011, urine protein 1g/L, red blood cell 3 ~ 4 / Hp, white blood cells 3 ~ 5 / Hp, hemoglobin 40g/L, platelet 60 x 109 / L, the most likely diagnosis is:
A, and the rec
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