问题 多项选择题 案例分析题

患儿,男,1岁,因咳嗽、发热2天,伴晕厥2次入院。1天前患儿突发晕厥,当时面色苍白,双目凝视,四肢强直,呼之不应,伴尿失禁,持续2~3分钟自行缓解。今患儿哭闹后再次发作晕厥遂来院急诊。查体:T37.7℃,P158次/min,R36次/min,体重10kg,昏迷状,生长发育可,前囟平软,面、唇稍苍白,无颈阻,呼吸平稳,双肺呼吸音粗,心音有力、律不齐,未闻及杂音,腹软,肝肋下1cm,四肢肌张力正常,神经系统检查无异常。

经上述处理2天后,患儿精神、食欲好,未再发生晕厥,仍有咳嗽,心电监测示窦性心律,心肌酶谱示cTnl升高。下一步治疗应做哪些调整()

A.继续抗生素应用

B.口服美托洛尔

C.口服强心苷制剂

D.口服普罗帕酮

E.营养心肌药物

F.口服胺碘酮

答案

参考答案:A, B, E

完形填空
“BANG! BANG!” Setting off firecrackers(爆竹), which has been the most typical custom on the Spring Festival, is the happiest part of the Festival for most Chinese kids. They light the fuse(导火线) nervously, run away in a hurry, cover their ears with their hands and watch the colorful display with a big smile on their faces. Faced with the beautiful scene, they feel they are the happiest ones in the world as if they had never had a more exciting experience.
While setting off firecrackers can bring kids so much fun, these firecrackers can also be dangerous. Therefore, many Chinese big cities including Beijing began to ban them in the 1980s. Such an activity was completely or partially forbidden in big cities because the government took security, noise and pollution factors into consideration. As a replacement, some buy tapes with firecracker sounds to listen to, some break little balloons to get the sound too, while others buy firecracker handicrafts to hang in the living room.
This year good news came for teens in Beij ing. The ban on firecrackers was cancelled on September 9, 2008. It will add much fun to the coming Spring Festival in tile capital. Hearing the news, many kids were wild with joy.
According to Chinese custom, lighting firecrackers is a must during the Spring Fesrival. People believe the sound of the firecrackers drives away demons(恶魔) and bad luck for the coming year. Their beautiful colours and sound also bring much excitement during this most important traditional Chinese festival.
Since the ban, people complained that the Spring Festival was too quiet and not traditional enough. Children lost the fun and grown-ups lost their childhood memories.
Some even worried that if the ban continued, the next generation would only know the custom of lighting firecrackers through books. This would be a great loss for tradition.
Everybody knows that we can’t give up eating for the slight risk of choking(因噎废食). So in recent years, many cities have resumed the old custom at the request of local residents. This year Beijing kids will also be able to join in.
However, every year there are kids injured by setting off fireworks in a dangerous way. So while enjoying yourself, please bear safety in mind.
Don’t light fireworks among crowds, inside a bottle or with a part of your body right over it.
No matter how much fun firecrackers are, the most important thing is to keep away from danger. We wish every kid an exciting and safe Spring Festival!
Title:Firecrackers back in Beijing on the Spring Festival
小题1:  
for setting off firecrackers
☆It is the most typical custom of the Chinese.
☆The sound of the firecrackers is 小题2:   to drive away demons and bad luck.
☆Their beautiful colours and sound also make people 小题3:  .
Fun for kids
☆Feeling nervous and running away 小题4:   when lighting the fuse
☆Covering the ears with hands and 小题5:   the colourful display joyfully
小题6:  on the ban
☆It is very dangerous for people and their properties.
☆Its noise and smoke cause heavy 小题7:  .
Complaints about the ban
☆Much fun for kids will be 小题8:   .
☆It’s difficult for grown-ups to remember their childhoods.
Return of firecrackers
☆The government 小题9:   the ban on Septmnber 9, 2008.
☆If taking proper 小题10:   measures, Beijing kids will enjoy an exciting Spring Festival this year.
 
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