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男,51岁,肝硬化患者,有腹水。不规律服用利尿剂治疗,两天来出现嗜睡。体检:轻度黄疸,测血钠120mmol/L,血钾2.6mmol/L,氯化物92mmol/L,BUN10mmol/L,血pH7.5。此时最好的治疗是静脉滴注()
A . A.谷氨酸钠
B . 谷氨酸钠+精氨酸
C . 谷氨酸钠+谷氨酸钾
D . 谷氨酸钠+左旋多巴
E . 谷氨酸钠+精氨酸+10%氯化钾
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