2025年住院醫(yī)師規(guī)范培訓(各省)-北京住院醫(yī)師急診科歷年參考題庫含答案解析(5套典型題)2025年住院醫(yī)師規(guī)范培訓(各省)-北京住院醫(yī)師急診科歷年參考題庫含答案解析(篇1)【題干1】心肺復蘇時，成人單人心肺復蘇的按壓深度應為多少？【選項】A.3-5cmB.5-6cmC.6-8cmD.10-15cm【參考答案】C【詳細解析】根據(jù)2020年AHA指南，成人單人心肺復蘇的按壓深度為5-6cm，且每次按壓后應完全回彈。選項C符合標準，其他選項均超出或低于推薦范圍?！绢}干2】過敏性休克的首選搶救藥物是？【選項】A.地塞米松B.腎上腺素C.阿托品D.糖皮質(zhì)激素【參考答案】B【詳細解析】過敏性休克屬于I型超敏反應，腎上腺素能迅速拮抗組胺作用，是唯一明確有效的藥物。選項B正確，其他選項雖可能輔助治療但非首選?！绢}干3】急性肺水腫患者使用利尿劑時，首選的藥物是？【選項】A.呋塞米B.布美他尼C.乙酰唑胺D.速尿【參考答案】A【詳細解析】急性肺水腫時，呋塞米（速尿）因起效快、作用強成為一線用藥，可快速緩解呼吸困難。選項A正確，乙酰唑胺主要用于預防急性高原病。【題干4】創(chuàng)傷患者進行創(chuàng)傷評估時應遵循的評估順序是？【選項】A.氣道-呼吸-循環(huán)-意識B.循環(huán)-氣道-意識-呼吸C.意識-氣道-循環(huán)-呼吸D.呼吸-循環(huán)-氣道-意識【參考答案】A【詳細解析】創(chuàng)傷評估遵循“ABCDE”原則（Airway,Breathing,Circulation,Disability,Exposure），即先處理氣道、呼吸、循環(huán)，再評估意識和暴露部位。選項A符合標準?！绢}干5】糖尿病酮癥酸中毒患者使用胰島素的初始劑量應為？【選項】A.10U/hB.0.1U/kg/hC.0.5U/hD.5U/h【參考答案】B【詳細解析】糖尿病酮癥酸中毒胰島素初始劑量為0.1U/kg/h，根據(jù)患者體重調(diào)整，可快速降低血糖并糾正代謝紊亂。選項B正確，其他劑量過高或過低均可能引發(fā)低血糖?！绢}干6】以下哪種情況需立即進行創(chuàng)傷性腦損傷的確定性診斷？【選項】A.GCS評分14-15分B.GCS評分13-14分C.GCS評分9-12分D.GCS評分≤8分【參考答案】D【詳細解析】GCS評分≤8分為嚴重腦損傷，需通過CT或MRI明確是否存在顱內(nèi)血腫等結構性損傷，以制定手術方案。選項D正確，其他評分可能僅需觀察或非緊急處理?！绢}干7】急性心肌梗死患者再灌注治療的時間窗是？【選項】A.患者癥狀發(fā)作后30分鐘B.患者癥狀發(fā)作后60分鐘C.患者確診后2小時D.患者確診后3小時【參考答案】B【詳細解析】急性ST段抬高型心肌梗死再灌注治療（如PCI）的黃金時間為癥狀發(fā)作后60分鐘內(nèi)，延遲超過60分鐘仍需爭取早期開通血管。選項B正確?！绢}干8】以下哪種藥物是治療重癥一氧化碳中毒的首選？【選項】A.碳酸氫鈉B.高滲葡萄糖C.羧酸酶D.亞硝酸鹽【參考答案】C【詳細解析】碳酶（羧酸酶）可加速一氧化碳與血紅蛋白結合形成碳氧血紅蛋白，從而逆轉中毒癥狀。選項C正確，其他選項無效或有害?！绢}干9】創(chuàng)傷患者出現(xiàn)“熊貓眼”征提示哪種損傷？【選項】A.頸部橫斷傷B.頸部貫通傷C.頸部閉合性損傷D.頸部牽拉傷【參考答案】B【詳細解析】頸部貫通傷可導致頸總動脈破裂，血液流入縱隔形成頸部“熊貓眼”征（結膜下出血）。選項B正確，其他損傷無此特征?！绢}干10】急性腎損傷患者使用血管升壓素時，需密切監(jiān)測？【選項】A.血糖B.尿量C.血電解質(zhì)D.心率【參考答案】C【詳細解析】血管升壓素用于少尿性急性腎損傷時，可能加重腎缺血，需監(jiān)測血電解質(zhì)（如鈉、鉀）以防高鈉血癥。選項C正確，尿量監(jiān)測雖重要但非直接關聯(lián)?！绢}干11】過敏性休克患者使用腎上腺素時，劑量應如何調(diào)整？【選項】A.按體重0.1mg/kgB.按體重0.5mg/kgC.按體重1mg/kgD.按體重2mg/kg【參考答案】A【詳細解析】腎上腺素成人劑量為0.3-0.5mg肌注，換算為0.1mg/kg（按60kg體重計算），兒童需按體重調(diào)整。選項A正確，其他劑量可能過量?！绢}干12】以下哪種情況需禁用阿司匹林？【選項】A.高血壓B.糖尿病C.胃潰瘍D.胃癌【參考答案】C【詳細解析】阿司匹林可能加重胃黏膜損傷，胃潰瘍患者使用易誘發(fā)出血性潰瘍。選項C正確，其他選項為相對禁忌但非絕對禁忌?！绢}干13】急性肺栓塞患者首選的影像學檢查是？【選項】A.D-二聚體B.胸部X線C.螺旋CTPAD.心電圖【參考答案】C【詳細解析】CTPA（胸部計算機斷層肺動脈造影）可快速診斷肺栓塞，敏感性和特異性均高于其他選項。選項C正確，D-二聚體為篩查指標?！绢}干14】糖尿病酮癥酸中毒患者出現(xiàn)下列哪種表現(xiàn)提示腦水腫？【選項】A.血糖>33.3mmol/LB.頻繁嘔吐C.瞳孔散大D.抽搐【參考答案】C【詳細解析】糖尿病酮癥酸中毒晚期可能出現(xiàn)腦水腫，表現(xiàn)為意識障礙、瞳孔散大及癲癇樣抽搐。選項C正確，其他癥狀為常見代謝紊亂表現(xiàn)?！绢}干15】創(chuàng)傷患者止血時，哪種方法適用于深部組織出血？【選項】A.直接加壓B.止血帶C.止血海綿D.骨科夾板【參考答案】A【詳細解析】直接加壓是創(chuàng)傷止血的首選方法，適用于四肢、腹部等深部組織出血。選項A正確，止血帶僅用于四肢大動脈破裂且無法壓迫的緊急情況。【題干16】急性中毒患者洗胃的禁忌癥是？【選項】A.誤服腐蝕性藥物B.時間超過2小時C.嚴重呼吸抑制D.生命體征穩(wěn)定【參考答案】C【詳細解析】嚴重呼吸抑制患者洗胃可能加重窒息風險，應首選氣管插管保護氣道。選項C正確，其他選項均為相對禁忌但非絕對禁忌?！绢}干17】關于糖尿病酮癥酸中毒胰島素的使用，下列哪項正確？【選項】A.直接靜脈推注B.初始劑量0.1U/kg/hC.每日總量不超過200UD.需與碳酸氫鈉同時使用【參考答案】B【詳細解析】糖尿病酮癥酸中毒胰島素初始劑量為0.1U/kg/h，靜脈輸注需持續(xù)48小時以上，每日總量可調(diào)整。選項B正確，碳酸氫鈉僅用于嚴重酸中毒合并低鉀血癥時。【題干18】過敏性休克患者出現(xiàn)喉頭水腫時，應首先進行？【選項】A.靜脈注射腎上腺素B.氣管插管C.高流量吸氧D.口對口呼吸【參考答案】B【詳細解析】喉頭水腫可迅速導致氣道阻塞，需立即行氣管插管或氣管切開以保障通氣。選項B正確，腎上腺素僅能緩解癥狀但無法立即解除氣道梗阻?！绢}干19】急性心肌梗死患者使用硝酸甘油時，出現(xiàn)以下哪種表現(xiàn)需立即停藥？【選項】A.胸痛緩解B.血壓下降C.脈搏增快D.皮膚潮紅【參考答案】B【詳細解析】硝酸甘油可能引起血管擴張導致低血壓，若收縮壓<90mmHg需立即停藥。選項B正確，皮膚潮紅為常見副作用但非停藥指征?！绢}干20】創(chuàng)傷患者進行頸椎固定時，錯誤的操作是？【選項】A.固定頭頸部并保持中立位B.使用硬質(zhì)頸托C.固定后立即送CT檢查D.固定期間禁止任何頸部活動【參考答案】C【詳細解析】頸椎固定后應避免過早行影像學檢查以防再損傷，需在穩(wěn)定轉運后評估。選項C錯誤，其他選項均為正確操作步驟。2025年住院醫(yī)師規(guī)范培訓(各省)-北京住院醫(yī)師急診科歷年參考題庫含答案解析(篇2)【題干1】心肺復蘇（CPR）的按壓深度標準是？【選項】A.4-5cmB.5-6cmC.1.5-2cmD.2-3cm【參考答案】C【詳細解析】根據(jù)《心肺復蘇與心血管急救指南》，成人標準按壓深度為5-6cm，但題干未明確對象。若為兒童/嬰兒則1.5-2.4cm，若題干隱含成人心肺復蘇，則D選項正確。但常見混淆點在于不同人群標準差異，需注意題干隱含條件?！绢}干2】急性胸痛患者出現(xiàn)血壓下降、脈速且冷汗，首先應考慮？【選項】A.急性冠脈綜合征B.張力性氣胸C.消化性潰瘍穿孔D.急性胰腺炎【參考答案】B【詳細解析】張力性氣胸典型表現(xiàn)為呼吸急促、血壓下降、氣管向健側偏移，叩診呈鼓音。急性冠脈綜合征雖可致血壓下降，但更常見持續(xù)性胸痛、ST段改變。題干描述符合張力性氣胸早期表現(xiàn)，需立即行胸部CT或超聲檢查?！绢}干3】急性腦卒中患者黃金干預期是？【選項】A.24小時B.48小時C.72小時D.1周【參考答案】B【詳細解析】指南明確缺血性腦卒中溶栓治療黃金時間窗為4.5小時內(nèi)，但題干未限定治療方式。若考慮機械取栓或血管內(nèi)治療，可延長至24小時內(nèi)。但常規(guī)考試中"黃金干預期"多指溶栓時間，需注意選項設置陷阱?！绢}干4】過敏性休克首選治療藥物是？【選項】A.腎上腺素B.地塞米松C.苯海拉明D.糖皮質(zhì)激素【參考答案】A【詳細解析】腎上腺素是過敏性休克急救的核心藥物，0.1mg肌注可迅速緩解癥狀。地塞米松雖用于抗炎，但起效滯后。題干強調(diào)"首選"治療，需區(qū)分不同藥物作用機制。【題干5】急性腹痛伴board征陽性，首先考慮？【選項】A.急性闌尾炎B.急性膽囊炎C.腸梗阻D.急性胰腺炎【參考答案】D【詳細解析】board征（板狀腹）提示腹膜受累，常見于急性腹膜炎。急性胰腺炎可因炎癥擴散導致板狀腹，而急性闌尾炎早期多表現(xiàn)為麥氏點壓痛。需結合淀粉酶/脂肪酶升高鑒別?！绢}干6】誤吸窒息搶救中，最關鍵的措施是？【選項】A.頭偏向一側B.海姆立克急救法C.開放氣道D.心肺復蘇【參考答案】C【詳細解析】開放氣道是誤吸窒息急救第一步，優(yōu)先使用仰頭抬頦法。海姆立克法適用于清醒成人氣道異物，而題干未說明對象，需排除選項。心肺復蘇僅用于心跳驟停?！绢}干7】糖尿病酮癥酸中毒（DKA）典型實驗室特征是？【選項】A.血糖<3.9mmol/LB.血酮體陽性C.血鈉>145mmol/LD.pH>7.35【參考答案】B【詳細解析】DKA實驗室特征包括高血糖（>13.9mmol/L）、酮體陽性、代謝性酸中毒（pH<7.3，HCO3-降低）。選項C為低血鈉（常見于高滲狀態(tài)），選項D為堿中毒表現(xiàn)?！绢}干8】高鉀血癥引起心律失常的主要機制是？【選項】A.心肌細胞靜息電位絕對值降低B.動作電位0期上升速度加快C.心肌細胞自律性增高D.鉀離子通道開放增加【參考答案】A【詳細解析】高鉀血癥抑制快鈉通道，導致靜息電位絕對值降低（從-90mV→-80mV），動作電位幅度降低，易引發(fā)室性心律失常。選項D描述為鈉通道開放增加。【題干9】張力性氣胸患者胸部叩診表現(xiàn)？【選項】A.濁音B.過清音C.鼓音D.叩診不能確定【參考答案】C【詳細解析】張力性氣胸特征性表現(xiàn)為患側叩診鼓音，呼吸音消失，氣管向健側移位。需與氣胸鑒別：交通性氣胸叩診過清音，開放性氣胸可聞及呼吸音?！绢}干10】急性喉炎患兒最突出的癥狀是？【選項】A.犬吠樣咳嗽B.進行性聲嘶C.三凹征D.呼吸困難【參考答案】A【詳細解析】急性喉炎典型表現(xiàn)為犬吠樣咳嗽、進行性聲嘶，嚴重時可出現(xiàn)吸氣性呼吸困難及三凹征。選項B為慢性喉炎表現(xiàn)，選項C是呼吸困難代償體征?！绢}干11】急性胰腺炎病理生理中，最關鍵環(huán)節(jié)是？【選項】A.激活補體系統(tǒng)B.胰腺壞死C.全身炎癥反應綜合征D.自主神經(jīng)功能紊亂【參考答案】C【詳細解析】急性胰腺炎病理核心是全身炎癥反應綜合征（SIRS），引發(fā)全身多器官dysfunction。選項B是嚴重并發(fā)癥，C選項為關鍵病理生理過程?！绢}干12】張力性顱腦損傷急救首要措施是？【選項】A.止血B.降顱壓C.清創(chuàng)D.控制血壓【參考答案】B【詳細解析】張力性顱腦損傷（顱內(nèi)高壓）需立即行側腦室引流或去骨瓣減壓，而非單純止血。選項B是緊急處理核心，優(yōu)先于其他措施。控制血壓需在降顱壓后進行?！绢}干13】低鉀血癥最早出現(xiàn)的電解質(zhì)紊亂是？【選項】A.血鈣降低B.血鈉異常C.血氯降低D.心電圖改變【參考答案】D【詳細解析】低鉀血癥心電圖最早出現(xiàn)T波低平、倒置，隨后出現(xiàn)U波。血氯降低（低氯性堿中毒）多繼發(fā)于腎小管酸中毒。選項D為最早可檢測改變的指標?！绢}干14】急性腎損傷（AKI）分期依據(jù)是？【選項】A.血肌酐變化B.尿量B.尿沉渣B.血生化指標B.血尿B.血鉀B.血鈉B.血氯B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉B.血鈉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