问题 多项选择题 案例分析题

患者男,34岁。盖房子时因土墙垮塌砸伤左小腿。伤后35分钟被送往当地卫生院行清创缝合术。第2天夜间,患者感伤肢沉重感,行走困难,疼痛逐渐加剧,自觉发热,全身无力。次日,病情加重,急来院就诊。查体:T40℃,P130次/分,R20次/分,BP100/60mmHg。痛苦面容,贫血貌,表情淡漠,烦躁,呼吸急促。整个左小腿延至大腿肿胀明显,左小腿下1/3外侧有一4cm长而不规则缝合伤口,周围皮肤苍白、紧张发亮,伤口中有恶臭味的血性液体和气泡溢出。触诊肢体有捻发音。实验室检查:RBC2.0×1012/L,Hb40%,WBC12×109/L,N90%。尿常规:血红蛋白尿。左小腿X线平片检查:肌群内有积气阴影。

每天需根据患者情况多次换药,换药中应该采取的做法是()

A.严格消毒隔离措施,换药时穿隔离衣,戴口罩、帽子、手套

B.充分准备好换药器械、物品

C.用大量过氧化氢冲洗伤口,清除腐败坏死组织,过氧化氢湿纱布填盖伤口

D.换药后,用绷带包扎伤口,注意松紧

E.所有换药用过的器械、污物、敷料应单独收集处理

F.以上均正确

答案

参考答案:A, B, C, E

阅读理解

阅读理解。

     My sister Alli and I have been trying to get people to stop dropping cigarette butts (烟蒂) for seven years.

     One day, we were walking in our hometown and saw hundreds of cigarette butts on the ground.

     They made the ground dirty.

     They made the town look so ugly that we decided to start a group to make people stop dropping butts.

We called it "No Butts About It!" At first, we drew pictures with "The Earth Is Not Your Ashtray (烟灰缸)"

written on them. We put the pictures around our hometown-in parks, by beaches, and along roads.

     We wanted to make people understand that dropping butts does harm to the environment. Most smokers

don't think that dropping butts harms the earth. But it does! All rubbish does.

     Later, we wrote to companies and asked them for money to help us. We used the money to buy ashtrays

to give smokers.

     We wanted smokers to carry the ashtrays with them so they didn't have to drop butts. At the moment, we

are trying to get cigarette companies to put an ashtray in each pack of cigarettes. Some companies would like

to do it.

     Many people have started to join our group since it began. Today there are 45 other "No Butts About It"

groups in America. And there are even groups in England, Australia and India!

     Many newspapers have written about my sister and I over the last seven years. And we have won many

prizes for our good work.

    But we are not interested in prizes. We just want to make the earth a better and cleaner place for animals,

plants and people.

     One day it will be.

根据短文内容, 完成下列各题.

1. It has _____ Alli and the writer seven years to try to _____ people stop dropping cigarette butts.

2. The cigarette butts made the town look so _____ that they decided to start a group _____"No Butts

    About It."

3. First, they drew pictures and put them around their hometown. Then they _____ to companies to

    ask for money. _____ the money they buy ashtrays to give smokers.

4. There are many" No Butts About It" groups in _____, _____, Australia and India.

5. They hope that one day the earth will be a _____ and _____ place for animals and people.

选择题