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【多选题】
患者女,55岁,50kg,155cm,ASAⅡ级。因子宫肌瘤9.2cm×8.9cm,拟行子宫全切。既往患有二尖瓣狭窄(风湿性),于5年前换瓣,一直以来口服华法林,1片/次,1次/天;呋塞米20mg/d。体检:BP140/80mmHg,T36.8℃,呼吸平稳,心功能Ⅱ级,双肺呼吸音清晰。ECG://房颤,心室率94次/分。胸片示:肺淤血、扩大。血生化无异常。 术中由于胃肠胀气严重,需进行胃管放置排气,但患者鼻出血病史多年,平时牙齿容易出血。针对患者的情况,麻醉医师放置胃管时正确的是()。
A.
如果临时胃肠减压,可经口腔置入,气管拔管前拔除
B.
鼻腔应用苯肾上腺素收缩血管
C.
如遇放置过程中出血,立刻提升血压
D.
使用足量润滑油
E.
胃管放置前冷水浸泡使之变硬
F.
放置胃管速度越快越好
G.
注意鼻腔的解剖结构,尽可能避开易出血区
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A.
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B.
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C.
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D.
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A.
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D.
were suffering from
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