问题 单项选择题

    男性,48岁,因头颅外伤4小时住院,当时有头痛、头晕,但无恶心、呕吐等症状。查体:T36.2℃,P86次/分,R20次/分,BPl40/100mmHg,呈嗜睡状,平车推人病房,心肺末及明显异常,腹部平软无压痛,左下肢无力,作头颅CT示右侧额叶脑挫裂伤,蛛网膜下腔出血,右额颞硬膜下血肿,脑肿胀,于2006年11月8日在手术室全麻下准备做颅内减压手术,在麻醉过程中患者突发消化道大出血,大量血液(约1000ml)误吸入气管中,5分钟后患者出现呼吸困难,呼吸频率>35次/分,SPO2120次/分,给予气管插管就地抢救,使用840呼吸机通气10小时,呼吸窘迫未能改善,转呼吸科重症监护病房给予气管切开插管接呼吸机机械通气,用840呼吸机进行有创通气,设置控制呼吸模式(CMV),压力控制方式(PC),呼吸频率(f)20次/分,潮气量(VT)8ml/kg,吸气压力(IPAP)8~12cmH2O,呼气末压力(PEEP),氧浓度根据血氧饱和度监测或血气分析做随时调整,但确保氧饱和度大于90%。

进行机械通气时行呼气末正压通气(PEEP)的压力值应保持在下列哪个区间为最佳选择

A.5~15mmH2O

B.10~20mmH2O

C.15~30mmH2O

D.10~15mmH2O

E.8~15mmH2O

答案

参考答案:A

阅读理解

Edward Wilson is America’s, if not the world’s, leading naturalist. In The Future of Life, he takes us on a tour of the world’s natural resources. How are they used? What has been lost? What remains and is it able to continue with the present speed of use? Wilson also points out the need to understand fully the biodiversity(生物多样性)of our earth.

Wilson begins with an open letter to the pioneer in environment protection, Henry David Thoreau. He compares today’s Walden Pond with that of Thoreau’s day. Wilson will use such comparisons for the rest of the book. The problem is clear: man has done great damage to his home over the years. Can the earth, with human help, be made to return to biodiversity levels that will be able to support us in the future?

Biodiversity, Wilson argues, is the key to settling many problems the earth faces today. Even our agricultural crops can gain advantages from it. A mere hundred species are the basis of our food supply, of which but twenty carry the load. Wilson suggests changing this situation by looking into ten thousand species that could be made use of, which will be a way to reduce the clearing of the natural homes of plants and animals to enlarge farming areas.

At the end of the book, Wilson discusses the importance of human values in considering the environment. If you are to continue to live on the earth, you may well read and act on the ideas in this book.

小题1:We learn form the text that Wilson cares most about ______.

A.the environment for plants

B.the biodiversity of our earth

C.the wastes of natural resources

D.the importance of human values小题2:How many species are most important to our present food supply?

A.Twenty.

B.Eighty.

C.One hundred.

D.Ten thousand.小题3:Wilson suggests that one way to keep biodiversity is to _______.

A.learn how to farm scientifically

B.build homes for some dying species

C.make it clear what to eat

D.use more species for food小题4:We can infer that the text is _______.

A.a description of natural resources

B.a research report

C.a book review

D.an introduction to a scientist

选择题