问题 多项选择题 案例分析题

病历摘要:男性患者,32岁,2月前开始尿量减少,浮肿,伴头痛、头晕。近日来,呼吸急促,严重时被迫体位。入院体检:T37℃,心率104次/min,呼吸28次/min,BP28/16kPa,慢性病容,意识清,烦躁不安,面色苍白,颈静脉无怒张,两肺底闻及中小湿啰音,心界向左下扩大,心率104次/min,律齐,心尖区二级收缩期吹风样杂音。实验室检查:尿蛋白(+),红细胞0~4个/高倍视野。血肌酐750μmol/L,血钾5.1mol/L,血钙2.5mmol/L,二氧化碳结合力15mmol/L。

应如何配合救治该患者?()

A.置患者两腿下垂坐位

B.高流量氧气吸入

C.给予心理支持

D.进行心电等监护

E.进行血压监护

F.进行呼吸监护

G.按医嘱及时准确给药

答案

参考答案:A, B, C, D, E, F, G

单项选择题 B1型题
单项选择题


In 1957 a doctor in Singapore noticed that hospitals were treating an unusual number of influenza-like cases. Influenza is sometimes called "flu" or a "bad cold". He took samples from the throats of patients in his hospital and was able to find the virus of this influenza.
There are three main types of the influenza virus. The most important of these are type A and B, each of them having several subgroups. With the instruments at the hospital, the doctor recognized that the outbreak was due to a virus in group A, but he did not know the subgroup. Then he reported the outbreak to the World Health Organization in Geneva. WHO published the important news alongside reports of a similar outbreak in Hong Kong, where about 15-20 percent of the population had become ill.
As soon as the London doctors received the package of throat samples, doctors began the standard tests. They found that by reproducing itself with very high speed, the virus had grown more than a million times within two days. Continuing their careful tests, the doctors checked the effect of drugs against all the known subgroups of virus type A. None of them have any protection. This, then, was something new, a new influenza virus, against which the people of the world had no help whatever.
Having found the virus they were working with, the two doctors now dropped it into the noses of some specially selected animals, which get influenza much as human beings do. In a short time the usual signs of the disease appeared. These experiments proved that the new virus was easy to catch, but that it was not a killer. Scientists, like the general public, call it simply Asian flu.
The first discovery of the virus, however, was made in China before the disease had appeared in other countries. Various reports showed that the influenza outbreak started in China, probably in February 1957. By the middle March it had spread all over China. The virus was found by Chinese doctors early in March. But China is not a member of the WHO and therefore does not report outbreaks of disease to it. Not until two months later, when travelers carded the virus into Hong Kong, from where it spread to Singapore, did the news of the outbreak reach the rest of the world. By this time it was well on its way around the world.

One thing necessary for discovering influenza outbreaks is ______.

A.doctors and hospital services

B.drugs to fight the disease

C.the United Nations

D.sick Chinese