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当前学科:结核病学(医学高级)
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患者,女,68岁,主因反复咳嗽、咳痰30年,加重伴双下肢水肿1周入院。查体:口唇和甲床紫绀,颈静脉充盈,双下肺可闻及细湿啰音,肝右肋下3指,双下肢浮肿。若需要利尿治疗,下列哪项不合适()
A . 双氢克尿噻
B . 双氢克尿噻和氨苯蝶啶口服
C . 小剂量速尿口服或静注
D . 螺内酯
E . 大剂量速尿、长期静注
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