问题 单项选择题

某1岁患儿,因腹泻呕吐4天人院。体检:血压86/56mmHg,精神萎靡,烦躁不安,口干,眼窝凹陷,尿量明显减少,皮肤弹性稍差,口唇樱红,呼吸深快,心音低钝,腹胀,四肢无力,膝反射减弱。可能的()

A.中度低渗性脱水、酸中毒 

B.中度等渗性脱水、酸中毒、低血钾 

C.重度低渗性脱水、酸中毒 

D.重度等渗性脱水、酸中毒、低血钾 

E.重度高渗性脱水、酸中毒、低血钾 

答案

参考答案:B

解析:

某1岁患儿,因腹泻呕吐4天人院。体检:血压86/56mmHg,精神萎靡,烦躁不安,口干,眼窝凹陷,尿量明显减少,皮肤弹性稍差,口唇樱红,呼吸深快(提示酸中毒),心音低钝,腹胀,四肢无力,膝反射减弱(提示低钾)。 

◆轻度脱水:是水量为体重的5%9约每千克体体重50毫升)。由于身体内水分减少,患儿会稍感到口渴,啼哭时沿有泪,有尿排出,检查见患儿一般善良好,两眼窝稍有陷,捏起腹部或大腿内侧皮肤后回缩尚快。 

◆中度脱水:是水量约为体重的5%-10%(每个克体重50-100毫升)。患儿的出烦躁,易激惹;中渴想喝水,水婴儿四处找奶头,如果得到奶瓶,会拼命吸吮;啼器时泪少,尿量及次数也减少;检查见患儿两眼窝下陷,口舌干燥,捏起腹壁及大腿内侧皮肤后回缩慢。 

◆重度脱水:是水量为体重的10%以上(每千克体重100-120毫升),患儿现为精神极度萎缩、昏睡,甚至昏迷;口喝非常严重,啼哭时无泪流出,尿量及尿次数明显数少。检查见患儿两眼窝明显下陷,口舌非常干燥;捏起腹壁及大腿内侧皮肤后回缩很慢。

解答题
阅读理解

Weleome to Chatsworth

●Times and dates for the year 2008

Open 2nd April to 21st December,House open daily 1l:00 a.m.to 5:30 P,m,last admission 4:30 p.m.,closes 5:30 p.m.Last entry to Scots Rooms.open 4;00p.m.gardens open 11:00a.m.to 6:00p.1111.,last admission 5:00 p,m,(open 10:30 a.m.June-August),closes 6:00 p.m.Farmyard and Adventureplayground 10:30 a.m.to 5:30 p.in.last admission 4‘30 p.m.,closes

5:30 p.m.

●Admission

Adults:£6.50

Senior citizens&students:£5.25

Children:£3.00

Children under three:Free

Family Ticket:£l 6.75

Car Park:£1 00

●Shopping

Two Gift Shops,w11 h many items based on designs from tbe House arid Garden.

Christmas shopping available at weekends from November to Christmas.

●Eating

Restaurant servmg home made food.Bar serving drinks and cakes

●Special Events in 2007

Angling Fair Weekend

8th and 9th May.One of the fairs in the Country for game and sea fishing funs.

Flower and Garden Show Weekend

26th and 27th in June.Tbe second year of this event,with flower shows and sales and gardening advice.

Guided Tours

Gulded tours for children and students it:English and French at an exlra eharge.Further details from the Booking Office after 10:30 a.m.

The 1000 acre Park in the banks of the River Derwent is open,free,throughout the year.

小题1:What is the opening time during the summer?

A.1l:00 a.m.

B.4:30 p.m

C.10:30 a.m

D.10:30 p.m.小题2:An older person above 60 will pay less than        an adult.

A.£1.25    B.£2.25    C£;.25 D.£6.50

小题3:What are on sale on 26th and 27th June?

A.Fishes.

B.Gardens.

C.Fairs.

D.Flowers.小题4:All of the following statements are true EXCEPT        

A.Chatsworth is open every day from 2nd April to 21st December.

B.It costs 1ess if you buy a family ticket.

C.You will not be admitted into Farmyard and Adventure playground if you arrive at 5:00 p.m.

D.Chatsworth is open to the public in Christmas Day.