甲状腺大部切除术后，呼吸困难和窒息的并发症与下列哪项因素无关（）。
A.手术创伤的应激诱发危象
B.切口内出血压迫气管
C.气管软化塌陷
D.喉头水肿
E.喉返神经损伤两侧声带麻痹
参考答案：A
解析：
呼吸困难和窒息是最危急的并发症。常见的原因有：①切口内积血，气管受压；②喉头水肿；③气管塌陷；④双侧喉返神经受损伤；⑤黏痰阻塞等。
紧急处理：①拆除缝线、敞开切口、清除血肿；②快速静脉滴注甘露醇、氢化可的松、速尿；③应在手术中做气管悬吊或气管切开；④吸痰解救无效时，做气管切开。
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| On Thursday afternoon Mrs Clarke locked the door and went to the women's club as usual.It was a pleasant way of __1__ time for an old woman who lived alone. When she came home she __2__ something unusual.Had someone got in?The back door and the windows were all locked and there was no __3__ of forced entry.Had anything been taken?She went from room to room, __4__, and found her camera and spare watch missing. The following Thursday she went out at her __5__ time, but didn't go to the club.Instead, she took a short walk in a park nearby and came home, letting herself in through the __6__ door.She settled down to wait and see what would happen. It was 4 o'clock when the front doorbell rang.Mrs Clarke was __7__ tea at the time.The bell rang again, and the next moment she __8__ her letterbox being pushed open.Picking up the kettle of boiling water, she moved quietly towards the letterbox.A piece of __9__ appeared through the letterbox, and then a hand.The wire turned and caught around the knob(原形旋钮)on the doorlock.Mrs Clarke __10__ the kettle and poured the water over the hand.A __11__ cry was heard outside as the wire __12__ to the floor and the hand was pulled back, which was followed by the sound of __13__ feet. It wasn't long before the police caught the thief.And Mrs Clarke was greatly __14__ at the club for her successful __15__. | ||||
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