问题 单项选择题

男性,34岁,右侧第4~7肋骨折,,呼吸极度困难,发绀,出冷汗。检查:BP65/40mmHg,右胸饱满,气管向左侧移位,叩诊鼓音,颈、胸部有广泛皮下气肿,首要的处理方法是

A.立即吸氧

B.开胸探察

C.输血、补液

D.胸腔穿刺排气减压

E.旗杆插管辅助呼吸

答案

参考答案:D

解析:病人因多根肋骨骨折后出现呼吸困难、发绀,血压低,气胸体征,皮下广泛气肿,提示骨折后导致高血压性气胸,因胸膜腔的高压,严重影响了呼吸和循环功能,应紧急排气减压。

阅读理解

When we can see well, we do not think about our eyes often: It is only when we cannot see perfectly that we come to see how important our eyes are.

People who are nearsighted(近视的) can only see things that are very close to their eyes. Many people who do a lot of close work, such as writing and reading, become nearsighted. Then they have to wear glasses in order to see distant things clearly.

People who are farsighted face just the opposite problem. They can see things that are far away, but they have difficulty reading a book if they don't hold it at arm's length. If they want to do much reading, they must get glasses too.

Other people do not see clearly because their eyes are not exactly the right shape. This, too, can be corrected by glasses. Some people's eyes become cloudy because of cataracts (白内障). Long ago these people often became blind. Now, however, it is possible to operate on the cataracts and remove them.

When night falls, colors become fainter(更模糊) to the eyes and finally disappear. After your eyes have grown used to the dark, you can see better if you use the side of your eyes rather than the centers. Sometimes, after dark, you see a small thing to one side of you. It seems to disappear if you turn your head in its direction. This is because when you turn your head, you are looking at the thing too directly. Men on guard duty sometimes think they see something moving to one side of them. When they turn to look straight at it, they cannot see it anymore, and they believe they were mistaken. However, this mistake happens because the center of the eye, which is very sensitive (敏感的) in daylight, is not as sensitive as the sides of the eye after dark,

小题1:According to the passage, a _______ is more likely to be nearsighted.

A.guard

B.doctor

C.writer

D.painter小题2:People who are farsighted _______.

A.cannot do a lot of close work without glasses

B.can only see things that are very close to their eyes

C.have the same problem as the nearsighted people

D.have difficulty reading a book if they hold it at arm's length小题3:To see a small thing at night, we need to look _______.

A.with wide open eyes

B.with half shut eyes

C.straight at it

D.in a slightly different direction

单项选择题