问题 问答题

一中年男性不慎从飞驰的汽车上摔下,伤后自觉呼吸困难伴左季肋部疼痛,被人急送至医院。入院后检查:血压80/55mmHg,脉搏108次/分,呼吸28次/分,神志清,面色苍白、四肢湿冷;气管向右侧移位,左侧胸廓饱满,捻发音(+),并可触及骨擦感,叩诊浊音,左侧呼吸音减弱,心律齐;腹部稍膨隆,腹式呼吸减弱,全腹压痛,以左上腹为甚,伴反跳痛,肝浊音界无缩小,左肾区叩击痛(+),移动性浊音(+),腹穿抽出不凝血。化验检查:Hb78g/L,WBC13.5×109/L;尿常规:RBC30~50/HP。试述(1)此病人的诊断是什么?(2)诊断依据(3)抢救治疗原则。

答案

参考答案:

答案要点:(1)诊断:复合伤闭合性胸外伤:肋骨骨折、血气胸 。闭合性腹外伤:脾破裂、左肾挫裂伤 。失血性休克 

(2)诊断依据:闭合性胸外伤肋骨骨折、血气胸:气管向右侧移位,左侧胸廓满, 捻发音(+),并可触及骨擦感,叩诊浊音,左侧呼吸音减弱。 脾破裂:腹式呼吸减弱,全腹压痛,以左上腹为甚,伴反跳痛,移动性浊音(+),腹穿抽出不凝血。化验检查:Hb78g/L。 左肾挫裂伤:左肾区叩击痛(+),尿常规:RBC30~50/HP。 失血性休克:血压80/55mmHg,脉搏108次/分,面色苍白、四冷。(3)抢救治疗原则:在积极输血补液抗休克的同时行胸腔闭式引流术后急诊行剖腹探查术。 

阅读理解

任务型阅读。

     Most children like watching TV. It's very interesting. By watching TV they can see and learn a lot and

know many things about their  country  and  the  world. Of  course,  they can also learn on the radio. But

they can learn better and more  easily on TV. Why? Because  they  can hear and watch at the same time.

But they can't see anything over  the  radio, TV  helps  to  open  children's  eyes. TV helps  to open their

brains (大脑),too. They can learn newer and better ways of doing things. They may find the world is now

smaller than before.Many children watch TV on Saturday or Sunday  evening. They are always busy with

their lessons. But a few children watch TV every night. They go to bed very late. They can't have a good

rest. That's too bad.

根据短文内容,补全句子.

1. Children like the________________ programs on TV.

2. They can get to know the world by______________ TV.

3. They like TV programs_____________ than radio programs.

4. They can learn more easily when they can hear  and watch at the____________ time.

5. There are some teaching programs on the____________,too.

6. TV helps to open_______________ children's eyes and their brains.

7. That's the  new_____________ of working out things.

8. With TVs and radios around us, the world is getting_________________.

9. Children can't watch TV for too long because they are always__________________ with their

lessons.

10.It is____________ for children to watch TV every  night.

判断题