问题 多项选择题 案例分析题

患儿,男,7岁,因四肢无力1天入院。入院前1天,患儿起床后感乏力,站立行走困难,并迅速加重,累及双上肢,不能端碗,声音变小,饮水呛咳。病程中无排尿及排便障碍,无头痛、呕吐及视物模糊,无惊厥及意识障碍,无发热,病前2周曾有上呼吸道感染史,既往无类似病史,否认遗传病家族史。体检:T37℃,R30次/min,HR100次/min,神清,对答切题,声音嘶哑,咽反射减弱,双侧呼吸动度减弱,双肺散在痰鸣音,心腹无异常,四肢肌张力低下,双上肢肌力3级,双下肢肌力2级,腹壁反射、提睾反射未引出,膝腱反射未引出,颈抵抗,双侧克氏征阳性,双侧巴氏征阴性,无感觉障碍。

患儿经上述处理后2小时仍有大量呼吸道分泌物,并出现口唇发绀,矛盾呼吸,鼻导管给氧下血氧饱和度迅速下降至65%~70%。此时应做何紧急处理()

A.吸痰,保持气道通畅

B.紧急气管插管

C.皮囊加压给氧转送至ICU

D.呼吸机辅助呼吸治疗

E.继续用IVIG

F.停用IVIG

答案

参考答案:A, B, C, D, E

阅读理解

阅读理解。

     If you watch the sky for about an hour after the sun goes down, you may see some "moving stars". But

  they're not really stars. They're man-made satellites. And the biggest of all is the International Space

  Station (ISS). From May to July is the best season to watch the ISS flying over the earth. And people

 can see it with their eyes.

     The ISS is the biggest satellite (人造卫星) and scientists want to live on it. They think that the best way

  to learn more about space is to live there.

     When the space station is finished, it will be like a city in space. People will stay and study there with

 many of the things they have at home. Laboratories, living rooms and power stations are being built. The

 ISS is the most expensive space program. Billions of dollars are being spent on it every year.

     Scientists hope that the ISS will be a stepping stone for future space exploration (探测). "The ISS will

  help us understand the human body better, explore space and study the earth. It can help us make life on

 the earth better," said Kathryn Clark, an ISS scientist.

     Sixteen countries are part of the program: the US, Russia, Canada, Japan, Brazil and 11 European

 countries. China isn't an ISS country, but it has helped with some of the experiments. In 2003, China sent

  some rice up to the ISS to find out what space would do to it.

1. The International Space Station _____ .

    A. is really a big city in space              

    B. is the biggest man-made satellite

    C. can only help us explore space           

    D. is mainly built by the USA and Russia

2. From the passage we know that _____.

    A. building the ISS is only for scientists to live there

    B. scientists can do anything they like there

    C. people can see the Space Station at any time

    D. sixteen countries are members of the space program

3. The phrase "a stepping stone" probably means _____.

    A. 滑梯            

    B. 巅峰              

    C. 垫脚石            

    D. 走廊

4. China sent some rice up to the ISS is probably to _____.

    A. be used as astronauts' food              

    B. sell it to aliens

    C. do some science experiments            

     D. make it grow better in space

5. Which of the following isn't mentioned in this passage?

    A. China will join the ISS in the future.

    B. The scientists are building living rooms for them in the ISS.

    C. The ISS will be more useful in the future.

    D. The ISS costs the members of 16 countries plenty of money every year.

判断题