问题 问答题 案例分析题

患者,男性28岁,因胸闷、心前区隐痛、心悸、乏力1周,晕厥1次入院。患者几天前踢足球后觉得特别疲乏,当晚8时就寝时出现心慌及心跳突然停顿感。自次日起即常有类似发作,还时感憋气,心前区隐隐不适,但未予重视。就诊前1小时上班途中,突然无原因地心悸,继而晕厥在公共汽车上,经旁边乘客扶起后即清醒。经回忆,10天前曾因淋雨着凉而发热、咽痛、流涕、全身酸痛,偶有咳嗽、腹泻。当地医院诊为“上感”,服对乙酰氨基酚(泰诺)、先锋霉素后愈。查体:体温37.8℃,脉率104次/分,呼吸率24次/分,血压105/71mmHg;神志清楚,焦虑不安;心脏听诊:心率108次/分,可闻室性期前收缩6~8次/分,心尖区第一心音低钝,收缩期Ⅱ级吹风样杂音。两肺、腹部及神经系统均无异常发现。请问:

你估计该病预后如何?有无危险?

答案

参考答案:

病毒性心肌炎的预后主要决定于心肌炎症的部位和范围,轻重表现差异很大,轻者可完全没有症状,重者也可猝死。一般来说,急性期如能及时卧床休息及增进营养,进行对症和支持疗法,预后多良好,多数可痊愈。重症或患病期不注意休息和治疗,而仍处于过劳状态者,病情则可急剧恶化,乃至发生严重心律失常、心源性休克、猝死等;若急性期未能完全恢复而转为慢性心肌炎,则也可能演变为扩张型心肌病。 

单项选择题 A1/A2型题
阅读理解

阅读理解

      A few years ago when my daughter was about two years old,I went through a difficult time.My

marriage was in trouble,I was pregnant (怀孕的) and not particularly well and I didn't have much money.

Looking back I think I was also a bit depressed,but I had to get on with taking care of my daughter the

best I could.

      One day I thought I would take my daughter to the park for a nice day as she liked there,and I thought it was a nice thing to do.I decided to walk because the bus was expensive,so it took us a long time to get

there.When we finally got there,immediately my daughter began to cry.She was cold,she was thirsty,and

she wanted to go home.To be honest,I had not prepared properly.I didn't even have any money to buy a

drink or to take the bus back home.I was so frustrated and cross with myself that my dream of a nice day

failed.

       I started walking back home (it was nearly 2 miles),and my daughter would not stop crying.I felt so

miserable and cross with myself and my life that I started crying too.

      At that point a car stopped and a gentleman offered us a lift.He took us home,and seemed really

concerned-he even offered me all his change!The kindness of this stranger to a stranger like me really

made me feel better.I never saw him again and I don't know who he is but he really helped me out that

day,so I just want to say thank you.

1.The writer writes the passage in order to________.

A.tell us how she got through her difficult time

B.tell us what kind of life she and her daughter once lived

C.tell us a journey she and her daughter had without money

D.express her sincere thanks for the driver who once helped her

2.Why did the writer go through a difficult time when her daughter was about 2 years old?

A.Because her daughter was too young and noisy and she didn't know how to care for her.

B.Because she loved her daughter too much and took care of her as best as she could.

C.Because she was worried about her own health.

D.Because there is something wrong with her marriage,health and money.

3.What finally caused the writer to cry?

A.Her own poor situation.

B.Her feeling sorry to her daughter.

C.The lack of money.

D.The failure of her dream of a nice day.

4.According to the passage,we can infer that________.

A.the writer could afford a bus ticket at that time

B.the writer will never forget the kindness given by the driver

C.the writer received the driver's change and bought drinks for her daughter

D.the driver knew the writer and her daughter