女性，42岁。反复喘息发作5年，近2日来症状加重，每天夜间均有发作，查体：双肺哮喘音，心率80次／分，FEV1/FVC为60%，治疗方案应采取（）
A.口服氨茶碱及舒喘灵
B.口服强的松及氨茶碱
C.静脉点滴氨茶碱，口服强的松
D.吸入糖皮质激素，必要时吸入沙丁胺醇
E.静脉点滴氢化考的松，必要时吸入沙丁胺醇
参考答案：D
解析：
患者的临床特点提示其诊断为支气管哮喘。非急性期哮喘根据病情分为间歇、轻度、中度、重度四个阶段，不同阶段的哮喘给予不同的治疗。此患者FEV1／FVC为60%，每日夜间均有发作，故属中度哮喘。
| 完形填空。 | ||||
| In North America people are always in a hurry. Children have 1 lessons or sports activities after school. Parents often work late and don't get home 2 7 or 8 o'clock at night. More than 50 percent of women work at full - time jobs, and many people do part - time work. It isn't a 3 that the North American family doesn't have the time to eat many meals together. When a family takes the time to eat a meal 4 often there isn't enough time to 5 the food. That is 6 "fast food" is so popular in North America. People spend about 40 percent of their food dollars 7 fast food. Fast food is food such as hamburgers, pizza, sandwiches, or fried chicken. People usually 8 the food from a restaurant chain (连锁店) such as Pizza Hut, McDonald's, or Kentucky Fried Chicken. Fast food 9 work and time, 10 it is not very healthy. Fast food is 11 in many countries all over the world. Not everyone is happy about the 12 of North American fast food. A group of people in Italy want to 13 against the spread of American fast food. They do not want any more fast - food chains to open restaurants in 14 country. Their group is 15 the Slow Food Movement. They play to fight against the spread of fast food everywhere. | ||||
|