男孩，3岁6个月，因发热18小时，伴皮疹1小时入院，病程中呕吐3次，伴神萎、尿少，于1月20日入院，查体：T39．5℃，BP68／30mmHg，嗜睡状，面色青灰，唇周发绀，心率128次／分，心律齐有力，双肺呼吸音清晰，腹不胀，软，无压痛，臀部及下肢见散在瘀斑、瘀点，以臀部为主，四肢膝关节、肘关节以下凉，见大理石花纹，颈阻力(+)，布氏征(-)，克氏征(-)，巴氏征(-)。临床诊断为流行性脑脊髓膜炎。
如果在上述治疗过程中，心率增快、达169次／分，为保护心脏功能，应给予（）
A.利尿剂
B.脱水剂
C.多巴胺
D.强心剂
E.肾上腺皮质激素
F.镇静剂
参考答案：D
| 完形填空。 | ||||
| When I was in seventh grade, I was a candy striper (志愿做护士助手的小姑娘) at a local hospital in my town. Most of the 1 I spent there was with Mr Gillespie. He never had any 2 , and nobody seemed to care about his 3 . I spent many days there holding his hand and talking to him,_4_anything that needed to be done. He became a close friend of mine, 5 he responded with only an occasional squeeze(捏) of my hand. Mr Gillespie was in a coma(昏迷). I left for a week to vacation with my parents, and when I came back, Mr Gillespie was 6 . I didn't have the 7 to ask any of the nurses where he was, for fear they might 8 me he had died. Several 9 later, when I was a junior in high school, I was at the gas station when I noticed a familiar face. When I 10 who it was, my eyes filled with tears. He was 11 ! I built up the courage to ask him if his name was Mr Gillespie. With a(n) 12 look on his face, he replied yes. I 13 how I knew him, and that I had spent many hours talking with him in the hospital. His eyes welled up with tears, and he gave me the warmest hug I had ever 14 . He began to tell me how, 15 he lay there comatose, he could hear me talking to him and could 16 me holding his hand the whole time. Mr Gillespie 17 believed that it was my voice and 18 that had kept him alive. Although I haven't 19 him since, he fills my heart with 20 every day. I know that I made a difference between his life and his death. | ||||
|