问题 多项选择题

患者男,34岁,主因“呕吐咖啡样液、黑便2h”入院。患者入院前2h无明显诱因呕咖啡样物,量约300ml,同时排柏油样便2次,量约200ml,伴有头晕、心悸,全身乏力。既往反复发作上腹痛伴反酸病史3年,春秋季发作频繁,自行口服“胃药”有缓解。查体:脉搏120次/min,血压70/55mmHg,面色苍白,皮肤湿冷,腹部软,上腹部有轻压痛,无反跳痛及肌紧张,腹部叩诊鼓音,肠鸣音活跃,双下肢略有水肿。

如果该患者在术后3~6d出现上述临床表现,应采用的治疗方法是()

A.输液、抗炎保守治疗,不考虑再次手术

B.急诊手术,再次缝合十二指肠残端

C.急诊手术,充分引流腹腔

D.急诊手术,行Whipple术

E.急诊手术,行全胃切除术

F.空肠造瘘

答案

参考答案:C, F

阅读理解

What’s language for?Some people seem to think it’s for practicing grammar rules(规则) and learning lists of words --the longer the lists, the better. That’s wrong. Language is for the exchange of ideas and information. It’s meaningless if you can’t use it freely. Many students I have met know hundreds of grammar rules, but they can’t speak correctly or fluently(流利地). They are afraid of making mistakes. One shouldn’t be afraid of making mistakes when speaking a foreign language. Native(本土的) speakers make mistakes and break rules, too. Bernard Saw once wrote, “Foreigners often speak English too correctly.” But the mistakes that native speakers make are different from those that Chinese students make. They’re English mistakes in the English language. And if enough native speakers break a rule, it is no longer a rule. What used to be wrong becomes right. So Chinese students should pay attention to grammar, but they shouldn’t overdo(做过头)it. They should put communication(交际)first.

小题1: Language is used to __________ .

A.express oneself

B.practise grammar rules.

C.talk with foreigners only

D.learn lists of words小题2: If too many native speakers break a rule,________ .

A.what they use will become right.

B.they are against the law

C.they should say sorry to others.

D.they will become heroes小题3: When we speak a foreign language, we should________ .

A.speak in Chinese way

B.speak by the rules

C.speak to native speakers

D.not be afraid of making mistakes小题4:What should Chinese students put first?

A.Language

B.Communication

C.Rules

D.Grammar

单项选择题