问题 单项选择题 案例分析题

男,40岁,因躯干、双下肢汽油火焰烧伤2h入院,烧伤面积为60%,其中深二度20%,三度40%,入院后立即给予补液及应用广谱抗生素预防感染治疗。入院第3天行手术切痂自体微粒皮加大张异体皮移植术。术后因患者发热,给予持续大剂量广谱抗生素以控制感染,术后第8d,病人突然高热,寒战,体温高达40℃,出现神志淡漠,嗜睡及休克,白细胞计数25×109/L。

如该病人上述诊断成立,应采用哪种措施最为合理()

A.输血,抗休克治疗

B.加大原抗生素的剂量并全身应用抗真菌药物

C.立即停止使用原广谱抗生素,改用有效的窄谱抗生素及全身应用抗真菌药物

D.联合应用物理和化学疗法降温

E.应用大剂量激素

答案

参考答案:C

名词解释
阅读理解

It’s really true what people say about English politeness: it’s everywhere. When squeezing (挤过去) past someone in a narrow passage, people say “sorry”. When getting off a bus, English passengers say “thank you” rather than the driver. In Germany, people would never dream of doing these things. After all, squeezing past others is sometimes unavoidable, and the bus driver is only doing his job. I used to think the same way, without questioning it, until I started traveling to the British Isles, and here are some more polite ways of interacting (交往) with people in UK.

People thank each other everywhere in England, all the time. When people buy something in a shop, customer and shop assistant in most cases thank each other twice or more. In Germany, it would be exceptional to hear more than one thank you in such a conversation. British students thank their lecturers when leaving the room. English employers thank their employees for doing their jobs, as opposite to Germans, who would normally think that paying their workers money is already enough.

Another thing I observed during my stay was that English people rarely criticize (批评) others. Even when I was working and mistakes were pointed out to me, my employers emphasized several times but none of their explanations were intended as criticism. It has been my impression that by avoiding criticism, English people are making an effort to make others feel comfortable. This also is showed in other ways. British men still open doors for women, and British men are more likely to treat women to a meal than German men. However, I do need to point out here that this applies to English men a bit more than it would to Scottish men! Yes, the latter are a bit tightfisted.

小题1:What is the author’s attitude towards English politeness?

A.He thinks it is unnecessary.

B.He thinks little of it.

C.He appreciates it very much.

D.He thinks it goes too far.小题2:What can be inferred from the passage?

A.German men never treat a woman to dinner.

B.The author think it’s unnecessary to say “thank you” to the bus driver.

C.In Germany, employers often say “thank you” to employees for their job.

D.Germans think it is unnecessary to thank workers because payment is enough.小题3:We can learn from the last paragraph that Scottish men ______.

A.like to fight with each other

B.treat women in a polite way

C.are as generous as English men

D.are unwilling to spend money for women小题4:The author develops the text through the method of ______.

A.making comparisons

B.telling stories

C.giving reasons

D.giving examples