患者，男性，67岁。慢性肺心病、呼吸衰 竭，动脉血气分析：pH 7.48，PaC02 64mmHg, HC03 48mmol/L, K+ 3mmol/L, Cl' 72nunol/L, SGPT 40U/Lo治疗中下列 哪种药不宜使用

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