问题 单项选择题

男性,30岁,从三楼跌下左腹部跌伤,左6、7、8肋骨骨折,脾破裂、肠破裂。入院时精神紧张,T38.5℃,面色苍白,肢端冰冷,脉搏细速,110次/分,血压130/100mmHg,尿量减少。

首先考虑的治疗措施为

A.静脉输注血管收缩药物

B.立即剖腹探查

C.迅速补充血容量

D.大剂量应用抗生素

E.滴注利尿剂改善肾功能

答案

参考答案:C

解析:创伤后处于休克前期,首先的处理应为补充血容量。

填空题
完形填空
My nephew's 10-year-old son came for a visit one hot,July weekend. I persuaded him to  inside and joined him in a game. After  for an hour, I suggested that we relax for a while. I fell into my favorite recliner(躺椅)to let my neck muscles relax. He'd slipped out of the room and I was catching a few enjoyable moments of peace and quiet.
"Look,Alice,”he said  as he ran over to the chair where I was sitting"I found a kite. Could we go outside and   it?"
Glancing out a nearby window, I noticed it was  outside.“I'm sorry, Tripper,.” I said, sad to see his   eyes. "The wind is not blowing today. The kite won't fly.”
The  10-year-old replied,“I think it's windy enough. I can get it to fly,”he answered as he ran out to the back door   Up and down in the yard he ran, pulling the kite   to a small length of string. He ran back and forth,as hard as his ten year-old legs would carry him, looking back  at the kite behind. After about ten minutes of unsuccessful determination, he came back in.
I asked, "How did it go?"
"Fine,”he said, not wanting to admit   .“I got it to fly some”
As he walked past me to return the kite to the closet shelf, I heard him say under his breath, "I guess I'll have to wait for the  .”
At that moment I heard another Voice speak to my   . "Alice, sometimes you are just like that. You want to do it your way instead of waiting for the Wind.,,
And the voice was right. We usually want to use our own efforts to   what we want to do. We wait for the Wind only after we have done all we can and have exhausted(耗尽) our own   .We must learn how to rely on Him in the first place!
小题1:
A.liveB.studyC.stayD.lie
小题2:
A.playingB.restingC.challengingD.arguing
小题3:
A.casuallyB.enthusiasticallyC.stubbornlyD.deliberately
小题4:
A.decorateB.dropC.hangD.fly
小题5:
A.hotB.stillC.noisyD.fine
小题6:
A.brightB.disappointedC.dullD.satisfied
小题7:
A.cleverB.talentedC.determinedD.fearless
小题8:
A.hurriedlyB.curiouslyC.suddenlyD.unwillingly
小题9:
A.adaptedB.addedC.attachedD.devoted
小题10:
A.angrilyB.nervouslyC.doubtfullyD.hopefully
小题11:
A.winB.defeatC.mistake D.luck
小题12:
A.windB.orderC.newsD.sunshine
小题13:
A.heartB.memoryC.dreamD.world
小题14:
A.imagineB.decideC.applyD.accomplish
小题15:
A.courageB.patienceC.strengthD.knowledge