问题 多项选择题 案例分析题

患者男性,64岁,体重60kg,腹痛、腹泻伴发热3天。既往体健。查体:体温38.5℃,血压80∕50mmHg,心率130次∕分,呼吸30次∕分,全身无水肿。血常规:白细胞15.0×109∕L,中性粒细胞85%,血红蛋白130g∕L,血小板60×109∕L。

经以上积极治疗与监护后,患者病情恶化,10小时补液6000ml,尿量维持10~15mlh,呼吸困难加重,呼吸急促,40次∕分,神志淡漠,全身水肿,血压在多巴胺、去甲肾上腺素维持下100~110∕50~70mmmHg,血肌酐进行性升高,10小时后查血肌酐380μmol∕L,pH7.250,PaO256mmHg,PaCO222.5mmHg,BE-10mmol∕L,K+5.0mol∕L,现需采取的治疗措施是()

A.继续补液扩容

B.CRRT

C.血浆置换

D.血液灌流

E.呼吸机辅助通气

F.25g葡萄糖与6U胰岛素静脉滴注

答案

参考答案:B, E

单项选择题

(二)

Some spiders hunt on the ground, others build webs to trap their food, but the grass water spider catches its prey by running along the surface of the water.

This special water spider lives on the grassy banks of streams where mosquitoes, damsel flies and other insects come to feed and breed.

Although it is one of the largest spiders in New Zealand, it has an unusual ability. It doesn’t disturb the water as it waits for its meal, and there~ is barely a ripple when it skims across the surface at lightning speed to catch its prey.

Grass water spiders deal swiftly with larger insects like damsel flies by pulling their heads under the water and holding them there until they drown.

After a meal, the grass water spider spends up to half an hour grooming itself. It wipes its eight eyes, brushes its antennae, and takes special care to clean the hairs on its body.

It is the hairs that trap tiny bubbles of air so that the spider can run down a blade of grass and stay underwater for up to an hour when it is frightened. The hairs also keep the spider dry, even underwater.

It is only when the female spider is caring for the young that she does not hunt on the water. After mating, she produces a large egg sac, which she carries around for five weeks. Once the eggs start to hatch, she attaches the sac to some blades of grass or a thistle. She then tears the sac open and releases the tiny spiders into the nursery web.

How does the grass water spider kill its prey()

A.In a web

B.By drowning

C.By poisoning

D.With its antennae

多项选择题