问题 多项选择题 案例分析题

患者男性,41岁。突发胸背部剧烈疼痛10小时于2月13日23时急诊入院。平时工作无不适,无诱因于13日14时午饭过程中突发胸背部剧疼,如刀割样,持续数小时不缓解,伴全身冷汗,呼吸困难,给肌注杜冷丁后稍缓解。查体:T:37.1℃,P:104次/分,BP:180/98mmHg,R:18次/分,主动脉瓣二听诊区可闻Ⅲ级舒张期杂音。X线示纵隔影增宽,左心室明显扩大。

提示:在患者胸背部剧烈疼痛过程中,曾出现向腹部放散,经止痛药应用后缓解。对胸背部突发剧痛,持续不能缓解,伴冷汗,除胸主动脉夹层动脉瘤还有哪些可能()

A.心绞痛

B.肺梗塞

C.肾绞痛

D.胆绞痛

E.胃穿孔

答案

参考答案:A, B

完形填空

No fight can end, and no friendship can move on, until everyone says these little words, I’m sorry. Sometimes, though they can be difficult to say. ___小题1:___.

It’s not about winning.

Friendships aren’t like the Super Bowl and there should never be a winner and a loser. When you start fighting with w friend, it may feel important that you “win” the fight by proving you’re right and he is wrong, or by making him the first to apologize.

In reality, you’ll BOTH LOSE if you let your fight ruin your friendship, and you will BOTH WIN if you find a way to heal it.

___小题2:___ You may have heard the expression “ His pride stood in the way.” It is usually used to describe a person who is so determined to be “right” that he lets an opportunity for happiness pass him by forever. ___小题3:___ Remember: as time goes on, we usually forget who was right and who was wrong in a disagreement, and only remember the sadness of losing a friend.

Take the first step.

Are you sick of fighting? Do you think this fight is just not important enough to ruin your friendship? ____小题4:____ You don’t have to take full responsibility for starting the fight, or even say that your feelings were wrong. But you should find something you did or said that’s worth apologizing for. Maybe you’re sorry that you let the fight go for so long, or that you overreacted to something your friend did. If you say you’re sorry, it’s like an invitation for your friend to do the same. ____小题5:____.

A.Then try to be the first to apologize.

B.Stop thinking about your pride.

C.It’s about taking some responsibility for the argument.

D.Don’t let this happen to a friendship you care about.E. Here are some things to keep in mind.

F. There are some special cases when you shouldn’t be the one to apologize first.

G. Once you’ve both said it, you’ll both feel a million times better.

单项选择题 B1型题