单选题患者女性，行刮宫术后3天体温升高39℃，下腹疼痛，白带混浊，应（）A停止手术，给予缩宫素和抗生素B静脉注射阿托品1mgC全身抗生素治疗D抗生素治疗3天后再行表宫术E5%的NaHCO3，静脉滴注
单选题
患者女性，行刮宫术后3天体温升高39℃，下腹疼痛，白带混浊，应（）
A
停止手术，给予缩宫素和抗生素
B
静脉注射阿托品1mg
C
全身抗生素治疗
D
抗生素治疗3天后再行表宫术
E
5%的NaHCO3，静脉滴注
参考解析
解析：
1.刮宫术后体温升高、下腹痛及白带混浊等表现支持术后感染的诊断，处理原则为积极抗感染。 2.考虑为子宫穿孔，处理原则是立即停止手术，立即给予缩宫素和抗生素。 3.考虑为吸宫不全，经B超确诊后需服用抗生素3天后再行清宫术。术后继续抗感染。故选D。 4.考虑为人工流产综合反应。对其处理是遵医嘱给予静脉注射阿托品0.5～1mg。
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