患者男性，24岁，因“工作中不慎被10000V高压电击伤后1小时”来_爱下问搜题

搜题请搜索小程序“爱下问搜题”

问题单项选择题案例分析题

患者男性，24岁，因“工作中不慎被10000V高压电击伤后1小时”来诊。Ⅲ度烧伤面积达8%，创面分布于右腕、右前臂、双足、左侧胸部。查体：意识清，呼吸困难、口唇发绀，经皮血氧饱和度86%～90%，左侧胸前以 * * 为中心胸壁全层坏死，直径35cm，中心处有核桃大小胸壁洞穿，右前臂肿胀明显，右手皮温降低，充血反应变慢，右腕部创面3cm×4cm，部分皮肤坏死、破溃，创周皮肤黄色，呈皮革样，肌腱外露，右前臂尺侧创面4cm×5cm，创面基底黄色，质硬如皮革状。右肩背部、左大腿外侧散在创面，色暗红，散在小水疱，渗出不多。左足2、3、4趾，右足1、2趾色暗紫，皮温降低，充血反应消失，余趾血运良好，双足背动脉可触及搏动。尿少，呈酱油色。胸部Ｘ线片：左侧胸腔积液、气胸，肺压缩75%。心电图不正常。

该创面适合的处理方式是(提示胸部清创，彻底切除坏死组织后残留25 cm×35 cm创面，部分肋骨及肋间肌外露，胸壁核桃大洞穿性缺损。)（）

A.中厚植皮术

B.刃厚植皮术

C.邮票植皮术

D.抗生素纱布填塞洞穿性缺损，余创面湿敷

E.背阔肌皮瓣游离移植术

F.异体皮自体皮相间移植

答案

参考答案：E

完形填空

补全对话从方框中所给的选项中选择正确的句子补全以下对话。(10分)

Students: Good morning, Miss Lin.

Miss Lin: 　小题1:　　 Today, we'll talk about a new bird flu. It has hit some Chinese cities.

Monitor: 　小题2:　

Miss Lin: Yes, it is. It's reported that about 35 people have been ill.

Monitor: 　小题3:　

Miss Lin: We should keep away from animals. And we ought to wash our hands correctly.

Monitor: 　小题4:　

Miss Lin: It should take at least 20 seconds each time. 　　小题5:　 See a doctor at once if you have a high fever or have trouble breathing.

完形填空

One of Mark Twain’s classic novels is The Adventures of Tom Sawyer. It is   36  in a small American town in the 19th century. The people in this town are very traditional and   37 a quiet life.The story is about a boy called Tom Sawyer, who lives with his aunt Polly. He is often in 38  with his aunt. Aunt Polly is very kind,   39  Tom thinks she is always trying to control him.
Tom is different from   40  children in the town. He loves adventure. He does a lot of bad things, but he never really   41  anyone. He tries very hard not to go to school, and often jumps   42  his bedroom window at night to meet his friends. He is very clever. One day, Aunt Polly asks him to do some painting, and he   43  to get all the boys in the town to do the work for him by inventing a new   44  game. It is these little stories   45  make readers want to keep reading the novel, but it is the adventures that   46  the most important part of the book.
Tom’s best friend is Huck Finn, a boy who has no home. In one adventure, they spend the night outside, and they see a man kill another man   47 . Later in the book, Tom, Huck and another boy decide to leave the town   48  they think that life there is too boring. They __49__ to an island in the middle of a river. They   50  fires, catch fish and sleep under the stars. They also make a   51  to travel up and down the river.   52  seeing the boys for days, the people in the town think that they have died. One day, when Tom cones back to his aunt’s house to leave a letter   53  that he is not dead, he hears his aunt talking about his funeral（葬礼）.   54  Tom has an idea. On the morning of their funeral, the boys run back into town and   55  their own funeral before telling everyone that they are still alive.

D．in front of

C．in the long term

D．in the dark

C．even though

C．participate