问题 单项选择题 共用题干题

患者男,19岁,因“扩张型心肌病,终末期心力衰竭”行心脏移植术。术中使用免疫抑制药巴利昔单抗,术后应用亚胺培南、替考拉宁、阿昔洛韦及制霉菌素预防感染。术后第4天拔除经口气管内插管,拔管后采用甲泼尼龙、吗替麦考酚酯及他克莫司联合治疗,用二性霉素B雾化吸入预防真菌感染。术后持续肾代替治疗3d。术后第8天出现大量心包积液,怀疑急性排斥反应,予心包穿刺放液及甲泼尼龙冲击治疗,并应用1次巴利昔单抗,后症状缓解。术后第17天,查体发现右肺呼吸音减低,无发热,无明显咳嗽、咳痰及其他不适;床边摄胸部X线片:右下肺结节状阴影。胸部CT:上、中、下肺均有密度增高影,下肺结节达3cm×3cm。

病原尚未明确前可用的治疗方案是()

A.加用万古霉素

B.暂时不改变治疗方案

C.加用伏利康唑抗真菌治疗

D.停用激素

E.加用磺胺类抗生素

答案

参考答案:C

阅读理解

Like any good mother, when Karen found out that another baby was on the way, she did what she could do to help her 3-year-old son Michael prepare for it. She and her husband found out that the new baby was going to be a girl. Day after day, night after night, Michael sang to his sister in his mom’s tummy(肚子).

Finally, Michael’s little sister was born. But she was in a very serious condition. The doctor told the parents there was very little hope. They kept the baby girl in the ICU(重症室). Karen was so sad. She decided to say goodbye to the baby. Michael, however, kept asking his parents to let him see his sister. “I want to sing to her,” he would say. Finally Karen decided to take Michael to his sister. This might be the last time he saw her alive.

Michael looked at his baby sister. After a moment, he began to sing. In the lovely voice of a 3-year-old, Michael sang: “You are my sunshine, my only sunshine. You make me happy when skies are gray.” Suddenly the baby girl seemed to be better. Her heart beat well little by little.

“Keep on singing, Michael,” encouraged Karen with tears in her eyes. “You never know, dear, how much I love you, please don’t take my sunshine away.” As Michael sang to his sister, the baby’s breath(呼吸) became smooth.

After a few days, the little girl was well enough to go home. The doctors called it a miracle(奇迹).

小题1:What can we learn from the first paragraph?

A.Michael didn’t like his little sister at all.

B.Michael didn’t want to accept his new sister.

C.Karen wished that the baby would be a boy.

D.Karen helped Michael prepare for the change.小题2:What happened to Michael’s little sister after she was born?

A.She was very healthy.

B.She was seriously ill.

C.She was born to be blind.

D.She was crying all the time.小题3:Why did Karen decide to take Michael to see the newborn baby?

A.The doctor asked her to do so.

B.She thought he might be able to save the baby.

C.She wanted to know what Michael would do for his sister.

D.She thought it might be his last chance to see his sister.小题4:The writer tells us the story to show_____.

A.the power(力量) of science

B.the miracle (奇迹) of doctors

C.the power of love

D.the miracle of a mother

选择题