在塌方现场挖出一位伤员，烦躁，面部青紫，咳嗽剧烈，吸气呈三凹征，右胸壁压痛和反常呼吸，右股骨折断端外露。首要的紧急处理是（）。

A.立即清创包扎固定右股骨骨折

B.张力性气胸紧急行右胸腔减压

C.清理口腔和呼吸道分泌物与异物

D.加压包扎，固定浮动胸壁消除连枷胸

E.镇静吸氧

_____ the lawyers, volunteers from the Libyan Red Cross Society also joined the efforts in helping the Chinese go home safely.

A．Except for

B．In spite of

C．Apart from

D．Instead of