患儿男,14个月。发热,腹泻、呕吐3天入院。精神萎靡,呼吸45次/分,略促及深长;中度失水征,腹软气胀,余无异常。血钠127mmol/L,血钾4mmol/...

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问题 患儿男,14个月。发热,腹泻、呕吐3天入院。精神萎靡,呼吸45次/分,略促及深长;中度失水征,腹软气胀,余无异常。血钠127mmol/L,血钾4mmol/L,氯100mmol/L,CO2CP15mmol/L。第1天补液应是

选项 A.100ml/(kg?d)1:1液,不补钾
B.100ml/(kg?d)4:3:2液,不补钾
C.150ml/(kg?d)2:3:1液,见尿后补钾
D.150ml/(kg?d)4:3:2液,见尿后补钾
E.200ml/(kg?d)4:3:2液,见尿后补钾

答案D

解析
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