问题 单项选择题 A3/A4型题

病人女性,68岁。今晨5时睡眠中突发胸痛30分钟,由家属陪送急诊,初步诊断为“急性心肌梗死”收入院。病人有高血压病史5年,间断服用降压药,血压控制不详。入院后4小时给予溶栓治疗。

病人溶栓前的护理措施不正确的是()。

A.保持环境安静

B.只能在床旁活动

C.常规吸氧

D.心电、血压、呼吸监护

E.无禁忌者服用阿司匹林

答案

参考答案:B

解析:

1.溶栓治疗是急性心肌梗死再灌注心肌治疗中的一种方法,溶栓治疗前的护理其实属于急性心肌梗死病人的一般护理内容,需要有安静的环境,绝对卧床休息,吸氧,连接好重症监护,应用阿司匹林。选项B会增加心肌耗氧,加重心梗表现,因此本题选B。

2.溶栓是否成功,可根据下列指标间接判断溶栓是否成功:

①胸痛2小时内基本消失;

②心电图的ST段于2小时内回降>50%;

③2小时内出现再灌注性心律失常;

④血清CK-MB酶峰前出现(14小时以内),或根据冠状动脉造影直接判断冠脉是否再通。

因此,本题选D。

单项选择题
单项选择题

Some of the concerns surrounding Turkey’s application to join the European Union, to be (1) on by the EU’s Council of Ministers on December 17th, are economic--in particular, the country’s relative poverty. Its GDP per head is less than a third of the average for the 15 pre-2004 members of the EU. (2) it is not far off that of Latvia--one of the ten new members which (3) on May 1st 2004, and it is much the same as (4) of two countries, Bulgaria and Romania, which this week concluded (5) talks with the EU that could make them full members on January 1st 2007.

(6) , the country’s recent economic progress has been, according to Donald Johnston, the secretary-general of the OECD, stunning. GDP in the second quarter of the year was 13.4% higher than a year earlier, a (7) of growth that no EU country comes close to (8) . Turkey’s (9) rate has just fallen into single figures for the first time since 1972, and this week the country (10) agreement with the IMF on a new three-year, $10 billion economic program that will help Turkey (11) inflation toward European levels, and enhance the economy’s resilience.

Resilience has not historically been the country’s economic p point. (12) , throughout the 1990s growth oscillated like an electrocardiogram (13) a violent heart attack. This (14) has been one of the main reasons why the country has failed dismally to attract much-needed foreign direct investment. Its stock of such investment is lower now than it was in the 1980s, and annual (15) have scarcely ever reached $1 billion.

One deterrent to foreign investors is due to (16) on January 1st 2005. On that day, Turkey will take away the right of virtually every one of its citizens to call themselves a millionaire. Six zeros will be removed from the face value of the lira (里拉,土耳其货币单位); one unit of the local (17) will henceforth be worth what 1 million are now--ie, about £ 0.53 (0.53 欧元). Goods will have to be (18) in both the new and old lira for the whole of the year, (19) foreign bankers and (20) can begin to look forward to a time in Turkey when they will no longer have to juggle mentally with indeterminate strings of zeros.

9()

A.inflation

B.interest

C.investment

D.tariff