问题 多项选择题

患者女性,70岁,因气急2天伴意识模糊4小时来院急诊。患者约半月前爬山时不慎划伤右小腿,创口未愈合,并持续流脓,2天前呼吸较急促,并渐加重,尿量减少,4小时前出现意识模糊。无咳嗽咳痰,无慢性心肺疾病史。提示:体检:T39℃,P120次/分,R28次/分,BP70/45mmHg,SPO291%。意识模糊,肢端湿冷,颈静脉无怒张,呼吸急促,两肺可闻及少量细湿啰音,心率快,未闻及病理性杂音,腹平软,无压痛,肝脾未触及,右小腿有一约2cm×2cm创口,有脓性分泌物。

提问:急诊先重点检查哪些项目?()。

A.血清钾、钠、氯、钙

B.血气分析

C.心脏MRI

D.腰穿脑脊液检查

E.凝血功能

F.血糖

G.血培养

H.创口分泌物培养

I.TEE(经食管超声心动图)

J.肝功能

K.胸片

L.头颅CT

答案

参考答案:A, B, E, F, G, H, J, K

计算题
阅读理解

It's interesting that the arrival of snow has effect on people in different countries. For some countries it is an important happening to celebrate each year, while for others a catastrophe(灾害) or even a wonder.

But there are countries between these two kinds that normally expect snow some time over-the winter months, but never receive snow regularly or in the same quantities every year. Britain is one of them, for which the arrival of snow quite simply causes problems. Within hours of the first snowfalls, however light, roads are blocked; trains and buses have to stop in the middle of the way. Normal communication is affected as well: telephone calls become difficult and the post immediately takes more time than usual. And almost within hours, there are also certain shortages—bread, vegetables and other things—not because all these things can no longer be produced or sent to shops, but mainly because people are frightened and go out and store up with food and so on just for fear that something bad should happen.

But why does snow have this effect? After all, the Swiss, the Austrians and the Canadians don't have such problems. It is simple because there is not enough planning and preparation. We need money to buy equipment to deal with snow and ice. To keep the roads clear, for example, requires snow-ploughs(扫雪机) and machines to spread salt. The reason why a country like Britain does not buy snow-ploughs is that they are used for a few days in any one year, and the money could be more useful in other things such as hospital, education, helping the old.

小题1:According to the writer, Britain is a country _______.

A.which has regular snow

B.which is not well prepared for snow

C.for which snow is a catastrophe

D.for which snow is a wonder小题2:After a few hours' snowing there are often some shortages of food because _______.

A.shops have closed down

B.people buy as much as they can

C.farmers cannot produce any more

D.people eat more vegetables in winter小题3:The words “two kinds” in the passage mean the countries _______.

A.which have weather as yearly happening to celebrate or as rare (少见) weather

B.which either have heavy snow or light snow

C.to which snow either causes problems or no problems

D.which either have snow-ploughs or no snow-ploughs