問題詳情
3.42歲女性病患有primary systemic sclerosis病史3年，因全身抽搐被送至急診。到院時血壓200/106 mmHg，診斷為status epilepticus。病患前一週曾至眼科門診就醫，主訴為視力模糊，眼底鏡所見為視網膜出血並有cotton wool spots。 Hb 10.1 g/dL WBC 6450/μL Platelets 204,000/μLBUN 50 mg/dLCreatinine 2.0 mg/dLESR 77 mm/hr Urine protein +++ Urine RBC 10-20/HPF 以下哪種治療最適當？
(A)給予oral captopril
(B)給予IV labetalol (Trandate)
(C)給予oral methotrexate
(D)給予IV phenytoin
(E)安排plasma exchange