问题 多项选择题 案例分析题

患者女,21岁。因“颈部淋巴结大、触痛13天,发热畏寒11天”来诊。2小时前突然呕血,量约200ml,鲜血性,粪为黑色。既往史无特殊。查体:体温36.7℃,脉搏130次/分,呼吸40次/分,血压100/70mmHg(1mmHg=0.133kPa),口唇无发绀,心率130次/分,律齐,腹肌紧张,压痛(+),无反跳痛,肠鸣音消失。经皮脉搏血氧饱和度95%。

此时应立即进行的治疗是(提示患者自觉呼吸费力,面罩吸氧8L/min,血氧饱和度91%,血气分析:pH7.39,氧分压(PO2)59mmHg,二氧化碳分压(PCO2)29mmHg,碱剩余(BE)-5.6mmol/L。血压无升高。末梢发绀。)()。

A.呼吸机辅助通气

B.静脉滴注新鲜冷冻血浆

C.加用升压药

D.应用肝素

E.静脉滴注血小板

F.应用广谱抗生素

答案

参考答案:A, B, C, D, F

单项选择题

阅读下面短文,掌握其大意,然后从16-35各题所给的A、B、C、D四个选项中,选春最佳选项。

The journey my daughter Cathy has had with her swimming is as long as it is beautiful.

Cathy suffered some terrible 16  in her early childhood. After years of regular treatment, she  17  became healthy.

Two years ago, while Cathy was watching the Olympics, a dream came into her sweet little head—to be a swimmer. Last summer, she wanted to  18  out local swim team. She practiced hard and finally  19  it. The team practice,  20  was a rough start. She coughed and choked and could hardly  21  her first few weeks. Hearing her coughing bitterly one night, I decided to  22  her from it all. But Cathy woke me up early next morning, wearing her swimsuit  23  to go! I told her she shouldn’t swim after a whole night’s coughing, but she refused to  24  and insisted she go .

From that day on, Cathy kept swimming and didn’t  25  a single practice. She had a  26  intention within herself to be the best she could be. My ten—year—old was growing and changing right before my eyes, into this 27  human being with a passion and a mission. There were moments of  28  of course: often she would be the last swimmer in the race. It was difficult for Cathy to accept that she wasn’t a  29  ---ever. But that didn’t stop her from trying.

Then came the final awards ceremony at the end of the year. Cathy didn’t expect any award but was still there to  30  her friends and praise their accomplishments. As the ceremony was nearing the end, I suddenly heard the head coach  31  , “The highest honor goes to Cathy!” Looking around, he continued, “Cathy has inspired us with her  32  and enthusiasm.  33  skills and talents bring great success, the most valuable asset(财富)one can hold is the heart.”

It was the greatest  34  of my daughter’s life. With all she hade been  35  in her ten years, this was the hour of true triumph(成功).

34()

A.discovery

B.choice

C.influence

D.moment

多项选择题