问题 多项选择题 案例分析题

患者男,12岁,3年前因肠扭转行小肠大部切除术,术后保留40cm小肠。结肠和回盲瓣均保留。术后长期给予家庭肠内营养支持,并口服少量饮食。过去1年来反复发作无力,恶心,语言模糊,脱水,有时甚至昏迷。此次又有急性发作。入院检查:血压75/50mmHg,腹部体检正常。血糖、白蛋白、肝肾功能、血氨均正常。血气分析:pH7.21,钾4.9mmol/L,钠140mmol/L,氯110mmol/L,二氧化碳6mmol/L,D(-)-乳酸5.23mmol/L,离子间隙为24mmol/L。

治疗措施包括()。

A.静脉给予抗生素

B.静脉补充碳酸氢钠

C.充分补液

D.口服抗生素

E.胰岛素治疗

F.严重时考虑血液滤过

答案

参考答案:B, C, D, E, F

阅读理解

On Sunday while I was having my own Father’s Day celebration, I thought about my dad a lot. By the time I called to tell him that I loved him, he had already gone to bed. So I wrote the following to show what my dad means to me.

About 28 years ago, my dad was a used car salesman. Every Thursday night, he would head off to Shreveport, LA for the auction(拍卖会). Most of the time, I drove a car over there for him so he could sell it there.

One day, I was riding with my dad to Shreveport for the auction when he found a hitchhiker(搭车者)with a backpack. As soon as dad saw him, he pulled the car over and offered him a ride. Dad asked him his name and continued to talk to him about all sorts of things. I can’t recall why but he told dad a lot of terrible things that had occurred to him. I sat in the back seat and watched the scene with amazement. I could see that the hitchhiker changed his attitude as he could tell someone who was really listening to him.

We drove another forty-five minutes before we had to exit the interstate(州际公路). We pulled over and dad told him to keep his head up and things would start looking up for him soon. He reached into his pocket and handed the hitchhiker a twenty-dollar bill and then a the-dollar bill.

We drove on and my dad did not say a single thing. I was still completely amazed by what I just witnessed. I was always told everyone to never pick up a hitchhiker and yet my dad did it every single time he saw one. I’m sure that it made that poor man’s day, probably a month to follow.

While reflecting upon that story, I learned a lot about my dad and life. I learned that if you come from a place of service or compassion, you can change people’s lives. Just one single kind act can change someone’s life. It never occurred to my dad about not stopping to help him.

This is the type of person my dad is. Thank you for setting such high standards for me to follow.

Dad, I love you. Happy Father’s Day!

小题1:The author and his dad met a hitchhiker(搭车者)_______.

A.when they were just warned not to pick up a stranger

B.on their way to Shreveport to sell a car

C.on their way to the west for a trip

D.when their car was running out of gas小题2:What do we learn about the hitchhiker from the passage?

A.Something unpleasant occurred to him.

B.He was going to the auction.

C.At first he didn’t believe in the author.

D.It was he who bought the author’s car.小题3:How did the author feel about his dad’s behavior at that time?

A.Angry

B.Appreciated

C.Surprised

D.Ashamed小题4:What did the author learn from his father?

A.Just a single kind act can make a difference.

B.Try learning to be a good listener.

C.Set high standards for yourself in life.

D.Offering a ride to a stranger is dangerous.

问答题