问题 单项选择题 案例分析题

男性患者,30岁,反复发作性喘息6年,再发3天来诊,查体:患者神志清楚,呼吸急促,呼吸频率24次/分,双肺可闻及以呼气相为主哮鸣音。心率110次/分,律齐,无杂音。

若应用足量解痉平喘药和糖皮质激素等治疗2天,病情仍无好转,患者呼吸浅快、神志不清,PaO250mmHg,PaCO280mmHg。此时应采取的救助措施为()

A.高浓度吸氧

B.应用呼吸兴奋剂

C.纠正水电解质和酸碱平衡紊乱

D.联合应用广谱抗生素静滴

E.气管插管机械通气

F.静推纳洛酮促进苏醒

答案

参考答案:E

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     When Meggy finished her double master's degrees, I can remember watching her get her diploma.

As her line moved forward to the side of the platform, she seemed to have more energy than she could

handle.

     Meggy was in the Shriner's Hospital for months when she was three, and went back for another

series of operations when she was four. When the doctors told her parents that she would never walk,

nobody told baby Meggy. She willingly did the foot exercises each day. Her face reflected much

concentration as she moved across the room, but when she reached her destination, she smiled.

     Her mother, with the same strong determination, would read The Little Engine That Could to

Meggy. I can still hear them repeat the words of the children's story, "I think I can! I think I can! I think

I can!" When the engine made it over the enormous hill with the toys for the children, Meggy would laugh

as she and her mother sang, "I thought I could! I thought I could! I thought I could!" With that same faith

and hope, Meggy learned to run, skip, play games, and ride a bike.

     The social and academic requirements of colleges and graduate schools were difficult for Meggy. As

she studied far into the night, she kept her eye on her goals, on the people she would help. She graduated

first in her class and continued her preparation for teaching in graduate school.

     As I heard her name being called to receive her master's diploma, I watched her walk

with grace and purpose toward the Dean. As she went down the stairs of the platform,

a bright smile broke forth, and I could just hear her thinking, "I thought I could!"

1. Meggy can be best described as a girl with       .

A. courage

B. humor

C. patience

D. determination

2. Her mother read The Little Engine That Could to Meggy to        .

A. inspire her

B. make her laugh

C. kill time with her

D. teach her to sing

3. The biggest challenge for Meggy was probably to       .

A. teach others

B. speak before many people

C. learn how to walk

D. find her goals in life

4. What can be the best title for the text?

A. Hope in life        

B. I thought I could

C. Learn to develop yourself

D. Follow what you desire

单项选择题