问题 多项选择题 案例分析题

患儿,男性,2岁,因"发现心脏杂音2年"来我院门诊就诊。患儿出生时常规查体发现心脏杂音,但未对此详查。平素活动可,无紫绀、晕厥史。体重及身高发育较同龄儿童稍差,易感冒。门诊查体示:体重10kg;心率98次/分,心律整齐。心前区稍隆起,心脏搏动增强。心音清晰有力,胸骨左缘2~3肋间闻及2/6级柔和的收缩期杂音。双肺呼吸音清,未闻及干、湿啰音。唇甲无紫绀。

(提示患儿经原切口路径,在体外循环下行ASD再次修补术。)术中可能见到的病理改变是()

A.心包粘连

B.右房增大

C.左房增大

D.右室增大

E.左室增大

F.肺动脉增粗

G.原ASD修补缝线撕脱

答案

参考答案:A, C, E, G

单项选择题

阅读下列短文,从每题所给的四个选项(A、B、C和D)中选出最佳选项,并在答题卡上将该项涂黑。

B

Grandparents Answer a Call

As a third generation native of Brownsville, Texas, Mildred Garza never pleased move away,. Even when her daughter and son asked her to move to San Antonio to help their children, she politely refused . Only after a year of friendly discussion did Ms Gaf finally say yes. That was four years ago. Today all three generations regard the move to a success,giving them a closer relationship than they would have had in separate cities.

No statistics show the number of grandparents like Garza who are moving closer to the children and grandchildren. Yet there is evidence suggesting that the trend is growing. Even President Obama’s mother-in-law, Marian Robinson, has agreed to leave Chicago and into the White House to help care for her granddaughters. According to a study grandparents com. 83 percent of the people said Mrs. Robinson ‘s decision will influence the grandparents in the American family. Two-thirds believe more families will follow the example of Obama’s family.

“in the 1960s we were all a little wild and couldn’t get away from home far enough fsst enough to prove we could do it on our own,”says Christine Crosby, publisher of grate manazine for grandparents .We now realize how important family is and how important”” to be near them, especially when you’re raining children.”

Moving is not for everyone. Almost every grandparent wants to be with his or her grandchildren and is willing to make sacrifices, but sometimes it is wiser to say no and visit frequently instead. Having your grandchildren far away is hard, especially knowing your adult child is struggling, but giving up the life you know may be harder.

Why was Garza’s move a success?()

A.It strengthened her family ties.

B.It improved her living conditions.

C.It enabled her make more friends.

D.It helped her know more new places.

选择题