问题 多项选择题 案例分析题

患者女性,28岁,体重50kg,因“双下肢无力12小时,全身无力2小时”来诊。患者7日前开始发热,腹泻,未经治疗5日后自愈。12小时前行走中发现双下肢无力,2小时前全身无力,不能起床。肢体无疼痛麻木。未出现头痛、恶心、呕吐等不适。尿粪无异常。查体:意识清,言语流利。双上睑无下垂。双侧瞳孔等大正圆,直径3mm,对光反应敏感。双侧鼻唇沟对称。口角无歪斜。转颈有力。四肢肌力1级,肌张力低,腱反射减弱,痛觉存在。双侧巴氏征阴性。颈软,克氏征、布氏征阴性。共济检查无异常。神经电生理检查发现尺神经、桡神经、胫神经呈脱髓鞘表现。诊断:吉兰-巴雷综合征。用药医嘱:①免疫球蛋白,20g,静脉滴注,连用5日;②维生素B,100mg,每日1次,肌内注射;③甲钴胺注射液,0.5mg,每日1次,肌内注射。

吉兰-巴雷综合征治疗措施包括()

A.必要时气管插管或切开

B.静脉滴注甲泼尼龙

C.抗生素治疗

D.活血化瘀

E.早期康复治疗

F.静脉注射免疫球蛋白

G.给予足量B族维生素

答案

参考答案:A, E, F, G

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     In the last 500 years, several million people have been killed by earthquakes. Among all the
earthquakes, the 1976 Tangshan Earthquake is regarded as the     1      one in the twentieth century.
     On July 28, 1976, a terrible earthquake of 7.8 magnitude (级)     2     Tangshan City, Hebei Province.
In just one second, the city with one million people was destroyed. The earthquake was __3      strong
that even Beijing and Tianjin were seriously affected (受到影响). The shock was felt in 14 provinces and
cities-one-third of the country.
     The earthquake took place     4      midnight. Most people could not take any actions. Over 240,000
people     5     and about 170,000 were seriously injured. Water supplies, communications and traffic
were completely cut off.
     The people there needed     6      immediately. But they could not wait for help     7     . They formed
groups to dig for others. They set up medical areas and tents. They searched for food and clean water.
Recovery(恢复)was not easy with so much     8     . Yet, after a lot of care was given in time, the
rebuilding of Tangshan began almost     9    . Though it took time, the whole city was rebuilt and is    10    
home for over a million people, earning (赢得)Tangshan the name "Brave City of China".
( )1. A. deadly
( )2. A. happened
( )3. A. such
( )4. A. at
( )5. A. killed
( )6. A. food
( )7. A. arrive
( )8. A. people
( )9. A. soon
( )10. A. too
B. deadlier
B. hit   
B. much
B. in
B. kill
B. water
B. arrived
B. disaster
B. quickly
B. also
C. deadliest
C. happen
C. so     
C. on     
C. was killed
C. help   
C. arrives
C. death   
C. immediately
C. again
D. dead        
D. took place  
D. even        
D. with        
D. were killed
D. tents      
D. to arrive  
D. areas      
D. now        
D. still      
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