问题 多项选择题 案例分析题

病历摘要:患者男性,68岁。3天前因受凉感冒,而致发热、剧咳、咯大量黄色脓痰、气急、发绀,今晨起更出现神志模糊,躁动不安,故急送来院就诊。有吸烟史30余年,出现慢性咳嗽、咳痰已20多年。体检:T39.2℃,P122次/分,R30次/分,BP140/90mmHg。半卧位,意识模糊,唇颊发绀;球结膜充血。实验室检查:血液红细胞计数5.5×1012/L,血红蛋白含量160g/L;白细胞计数13×109/L,其中中性粒细胞占0.92;动脉血氧分压6.9kPa,二氧化碳分压8kPa。

该病例完整诊断()。

A.肺炎

B.慢性支气管炎急性发作

C.阻塞性肺气肿

D.呼吸衰竭

E.急性左心衰

F.全心衰

G.呼吸衰竭(肺性脑病)

H.支气管哮喘

答案

参考答案:B, C, G

听力题

缺词填空(共10空;每空1分,计10分)

根据短文内容和首字母提示,在下文空格处填入适当的词使短文完整。(每空一词)

As you know , Mark Twain was a f ___小题1:____ writer . He was born in a poor family . It was difficult for him to get some money when he was young . One day , he was invited to give a talk and after that he was asked if he could r____小题2:_____ the first money he ever earned (挣). He had thought a long time before he answered and then said , “Yes , it was at school . I can remember e____小题3:_____ about it . Pupils in those days didn’t respect (尊敬) their teachers and didn’t take c­­___小题4:____ of school property (财产). Some of them often broke the windows and doors , the others cut something on the desks . S____小题5:____ a rule (规定)was made in our school that any boy who did that would be beaten (被打) in front of the whole school , or would have to p____小题6:_____ five dollars .”

“ One day I cut a mouse on the desk with a knife . I had to give five dollars to the school or be beaten before the w____小题7:____ school . So I had to tell my father about it . My father said it would be very bad to have our family disgraced(羞辱) in front of the whole school . He agreed to give me five dollars to hand over to the headmaster(校长).But before g____小题8:____ me the money , he took me upstairs(楼上) and gave me a beating . But as I had one beating and got used to(习惯) it , I d_____小题9:____ I would take another beating at school and leave the five dollars to m_____小题10:______ . So that’s what I did . That was the first money I ever earned .”

单项选择题