问题 多项选择题 案例分析题

患者,女性,45岁。胸部撕裂样痛3小时伴晕厥1次入院,既往有高血压病史,未服降压药物。查体:血压180/130mmHg,脉搏75次/分,呼吸稍促,气管居中,双肺呼吸音正常对称,心界不大,心音有力,主动脉瓣区可闻及舒张期杂音。心电图示胸前导联ST-T改变。

患者心脏超声提示有主动脉瓣关闭不全,结合CTA,患者主动脉夹层为DeBakeyⅠ型,该患者的治疗应选择()

A.手术治疗

B.内科保守治疗

C.血管内介入治疗

D.内科治疗+手术治疗

E.内科治疗+血管内介入治疗

F.尚不能确定如何治疗

答案

参考答案:D

阅读理解

阅读理解。

      In the doctor's waiting room, people are sitting on their chairs. Bob, a schoolboy is among them. They all look very sad except Bob. He is reading an exciting story in a magazine. The doctor called "The next ! " and Bob runs into the doctor's waiting room.

      "What's your trouble?" says the doctor. Before Bob says a word, the doctor makes him lie down on

a bed, " Now, let me  listen to your heart. "Bob tries to speak, but the doctor tells him not to say anything.

'61'II take your temperature. " Bob tries to sit up, but the doctor stops him. After a moment, the doctor

says, "Well, boy, you don't have a fever.  In fact there's nothing wrong with you. "

      "I know there isn't. " says Bob.  "I just come here to get some medicine for my father. "

1. Bob sits in the waiting room to            .

A. see the doctor      

B. wait for his father

C. read his magazine    

D. buy some medicine

2. All the sick people look sad except Bob because       . 

A. Bob was too young to worry about anything

B. his father isn't very ill

C. he is reading the magazine

D. there's nothing wrong with him

3. Which of the following is TRUE according to the passage?

A. The doctor is careless.

B. There is no nurse in doctor's room.

C. The doctor is warm-hearted.

D. The doctor takes Bob for a sick person.

4. When examing Bob, the doctor might think that       .

A Bob is funny        

B. Bob is naughty

C. Bob is foolish      

D. Bob is very ill

选择题