问题
多项选择题 案例分析题
男性，21岁，1小时前因车祸致胸部挤压伤，来院急诊。体检：神清，气急，血压低，脉率快，眼睑结膜及头面部皮下广泛紫蓝色点状淤血斑，双肺听诊散在湿啰音。胸片未见明显异常。
该患者最适当的急诊处理是（）
A.剖胸探查
B.镇静，吸氧，观察生命体征
C.气管切开，呼吸机辅助呼吸
D.胸腔闭式引流
E.胸膜腔穿刺
答案
参考答案：B
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男性，21岁，1小时前因车祸致胸部挤压伤，来院急诊。体检：神清，气急，血压低，脉率快，眼睑结膜及头面部皮下广泛紫蓝色点状淤血斑，双肺听诊散在湿啰音。胸片未见明显异常。
该患者最适当的急诊处理是（）
A.剖胸探查
B.镇静，吸氧，观察生命体征
C.气管切开，呼吸机辅助呼吸
D.胸腔闭式引流
E.胸膜腔穿刺
参考答案：B
Mike had been delivering (送) newspaper for a week, but he was still not quite sure 36 he was going to like his first job. Today he was to 37 the month’s money from his customers (顾客). At the first house, Mike walked past the Pierces’ barking dog, 38 was tied up in the front yard. When he 39 the door he got up enough 40 to ring the bell. He told the man what he 41 . Mr Pierce didn’t smile or say anything , but he handed Mike a bill. Mike 42 counted out the man’s change. 43 the time he got to the 44 house, Mike felt a little more at ease. Mr Simon was repairing his 45 . He, too, gave Mike a 46 . but he smiled and talked 47 Mike gave him his 48 . As Mike walked to the third house, he 49 a bit uneasy, Mr Swenson was just 50 home from the store, and he stopped 51 he saw Mike. Mr Swenson paid Mike the exact amount in change. They stood 52 in front of the house 53 . This wasn’t 54 to be such a difficult job 55 , thought Mike as he continued on his way.
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