问题 单项选择题 A3/A4型题

患者,女性,30岁,平素体健,身高160cm,体重61kg,G2P0,妊娠40w吸引辅助下自然分娩,胎盘娩出困难。产后4天Hb8.2g/dl,产后.7天出血继续增加,BP80/52mmHg,HR128次/分,Hb4.5g/dl,PLT36.5×109/L,呼吸18次/分、SpO296%,皮肤苍白、四肢凉。辅助检查:胸部X线片(-),ECG:ST-T下降,Hb3.7g/dl,生化(-),血糖100mg/dl,诊断为:出血性休克、胎盘残留。预行手术治疗。

手术结束离开手术室时麻醉大夫最需要关注()。

A.要求联系ICU

B.生命体征是否平稳(心率、血压、体温、氧饱和度)

C.患者有否结膜水肿

D.患者的尿量如何

E.患者的术式

F.血色素不能低于10g/dl

答案

参考答案:B

阅读理解

Joanne was stuck in a traffic jam in central Birmingham at 5: 30 and at 6: 30 she was expected to be chairing a meeting of the tennis club. At last, the traffic was moving. She swung quickly racing to her house. As she opened the door, she nearly tripped(绊) over Sheba.

“Hey, Sheba,” she said, “I’ve got no time for you now, but I’ll take you out as soon as I get back from tennis club.” Then she noticed Sheba seemed to be coughing or choking. Obviously, she could hardly breathe. Immediately, Joanne realized she would have to take her to the vet(兽医).

When she got there, the vet was just about to close for the day. Seeing the state of Sheba, Dr. Sterne brought her quickly into his office.

“Listen, doctor, I’m really in a rush to get to a meeting. Can I leave her with you, and go and get changed? I’ll be back in ten minutes to pick her up, and then I’ll take her on to the meeting with me. Is that OK?”

“Sure.” said the doctor.

Joanne made the quick trip back to her house in a couple of minutes. As she was once more entering the hallway, the phone by the door began to ring.

“This is Dr. Sterne,” said an anxious voice. “I want you to get out of that house immediately,” said the doctor’s voice. “I’m coming round right away, and the police will be there any time now. Wait outside!”

At that moment, a police car screeched to a stop outside the house. Two policemen got out and ran into the house. Joanne was by now completely confused and very frightened. Then the doctor arrived.

“Where’s Sheba? Is she OK?” shouted Joanne.

“She’s fine, Joanne. I took out the thing which was choking her, and she’s OK now.”

Just then, the two policemen reappeared from the house, half-carrying a white-faced man, who could hardly walk. There was blood all over him.

“My God,” said Joanne, “how did he get in there? And how did you know he was there?”

“I think he must be a burglar.” said the doctor. “I knew he was there because when I finally removed what was stuck in Sheba’s throat: it turned out to be three human fingers.”

小题1:Joanne wanted to get back to her home again _____.

A.to dress up for the meeting

B.to phone the police station

C.to catch the badly hurt burglar

D.to wait for her dog to be cured小题2:From the passage, we can infer that _____.

A.Sheba fought against the burglar

B.the police found the burglar had broken in

C.Joanne had planned to take her dog to the meeting

D.the doctor performed a difficult operation on the dog小题3:In this passage, the writer intends to tell us that the dog is _____.

A.clever

B.friendly

C.frightening

D.devoted

多项选择题