问题 多项选择题 案例分析题

女性,30岁,哮喘史11年,近1年来反复发作,午夜或清晨时易发作,春季和梅雨季节尤其好发。体检:一般可,叙述病史连贯而无气急,两肺散在哮鸣音

下列叙述不正确的是()。

A.睡眠呼吸暂停是指睡眠时口和鼻气流停止达10秒以上

B.混合性睡眠呼吸暂停一次呼吸暂停过程中,开始出现阻塞性呼吸暂停,随后出现中枢性呼吸暂停

C.睡眠呼吸暂停综合征指每晚7小时睡眠中,呼吸暂停反复发作30次以上或睡眠紊乱指数≥5

D.睡眠紊乱指数指平均每小时睡眠呼吸暂停次数加上低通气次数

E.睡眠呼吸暂停综合征指每晚7小时睡眠中,呼吸暂停反复发作20次以上或睡眠紊乱指数≥5

F.睡眠呼吸暂停分为阻塞性、中枢性、混合性三种

G.阻塞性睡眠呼吸暂停期间,口鼻无气流,但仍存在胸腹式呼吸运动

H.中枢性睡眠呼吸暂停期间,口鼻腔气流与胸腹式呼吸运动同时消失

答案

参考答案:B, E

多项选择题
填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\