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单选题
患儿男,1岁半。发热,咳嗽4天,曾用青霉素肌注治疗无效。昨天起拒食,呕吐,尿量减少。入院查体:体温39.8℃,脉率180次/分,呼吸65次/分,精神萎靡,烦躁不安,口唇发绀,鼻翼扇动,三凹征(+),两肺散在中小水泡音,肝脏右肋下3cm。血白细胞2.5×109/L,中性粒细胞90%。 该患儿最可能的情况是()
A

肺炎合并心衰

B

肺炎合并中毒性脑病

C

肺炎合并脓胸

D

肺炎合并肺大疱

E

肺炎合并肺脓肿


参考答案

参考解析
解析: 根据患儿病史特点及体征,应考虑肺炎合并心衰
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