问题 多项选择题 案例分析题

患者女性,51岁,农民。因“阵发性胸闷、心悸12小时,伴晕厥1次”入院。患者于入院前12小时清晨起床蹲位排便后起立行走时突发胸闷、心悸、黑矇,呼之不应,持续约10分钟,由急救车急诊入院。既往身体健康。查体:神志清,心肺未发现异常体征。拟诊“冠心病,心绞痛”给予输液治疗观察8小时左右未再发作,但患者下床活动行走约10m处又突感心悸、胸闷,心电图示窦性心动过速,心率120次∕分,给予吸氧,舌下含服硝酸异山梨醇片5mg无好转,约10分钟患者出现呼吸浅快、意识不清,心电监护示:心室颤动。

患者经胸外按压、呼吸支持、静脉注射肾上腺素和电除颤3次后仍未恢复窦性心律,心电监护示心室颤动,接下来如何处理()

A.继续胸外按压、呼吸支持

B.注射利多卡因100mg后再除颤

C.注射胺碘酮300mg后再除颤

D.注射阿托品1mg后再除颤

E.注射硫酸镁后再除颤

F.经皮胸壁心脏起搏

答案

参考答案:A, C

阅读理解

Answer the questions (根据短文内容回答下列问题)

I’ve always wanted to try rock climbing, but never had time or money for it. But I’ve discovered a way to experience the thrill(兴奋,紧张) of climbing rock. Indoor climbing is an easy and exciting way to get a taste of rock climbing. And it is also much cheaper and safer! Indoor climbers don’t climb on real rock, but on a plastic wall. You can probably find a climbing wall near you. Many gyms,

schools and camps have one.

You can climb in doors at any time of the year, no matter how the whether is. It is usually not expensive. Most gyms provide the equipment you need. The convenience of indoor climbing is one reason why it has become so popular. But the main reason people climb is for rush(刺激感) they get. When I stand at the roof of the wall and look up, I’m always scared, but once I start climbing, fear changes to determination. With my heart pounding(心剧烈跳动), I reach the top and look down. I can’t stop grinning. I did it! Indoor climbing is a great workout(锻炼). Climbing uses muscles(肌肉)that are hard to exercise, especially those in the shoulders, arms, chest and back. Many people say climbing makes exercise fun. Most gyms have several climbing walls with various degrees of difficulty. The easier ones are like climbing a ladder. The difficult ones bulge out(凸出)in places so that climbers must sometimes climb parallel(平行的)with the floor.

Although gym climbing is easier and safer than real rock climbing, you should still be careful. Always climb with a partner. As you climb, your partner pulls you climbing rope through something called a belay device(绳索控制器). The belay catches you if you slip. But make sure your partner knows how to use this equipment. And if you are a first-time climber, get some instruction before you begin.

小题1:Is indoor climbing cheaper and safer than real rock climbing?

小题2:On what do indoor climbers climb?

小题3:What are the reasons that make the indoor climbing so popular?

小题4:Who should always be with you when you climb?

小题5:What does your partner do as you climb?

小题6:Which do you think sounds more fun, rock climbing or indoor climbing? Why?

单项选择题