问题 单项选择题

患者,女性,37岁,行胆管切开取石、T管引流术,术后第4天。

护士查房时发现T管无胆汁引出,首先采取的措施是

A.插入细硅胶管负压吸引

B.检查管道是否受压

C.拔除,重新置管

D.继续观察,暂不处理

E.生理盐水加庆大霉素8万U高压冲洗

答案

参考答案:B

解析:胆汁引流一般每天300~700ml。量过少可能因T管阻塞或肝衰竭所致;量多可能是胆总管下端不够通畅。引流量突然减少,应注意是否有胆红素沉淀阻塞或蛔虫堵塞,是否管道扭曲、压迫。如有阻塞,可用手由近向远挤压引流管或用少量无菌生理盐水缓慢冲洗,切勿用力推注。

多项选择题
阅读理解

The Donkey Mobile Library

It is a bright morning in the Ethiopian countryside. Yohannes walks beside a pair of donkeys that are pulling a two-wheeled cart. They arrive at the agricultural town of Awassa where Yohannes opens the sides of the cart to display, not the usual vegetables or tools, but children’s books. This is the Donkey Mobile Library, the first of its kind in Ethiopia and one of only a few in the world.

Yohannes was born in Ethiopia, North Africa, but trained to be a librarian in the USA and returned to Ethiopia years ago. The cart is full of picture books donated by American libraries, teachers and school children.

Yohannes arranges small painted benches in the shade of the trees, and suddenly Ethiopian children come shouting and racing down every road and path. It’s mobile library day! They circle the bookshelves with great excitement. Until the Donkey Mobile Library began its regular two-monthly visits, many of these children had never seen a book.

“Without books, education is very dull, like food without salt. You can survive but you can’t really come alive,” says Yohannes. “The ability to read is the basis for greater productivity, better health and longer life. Even though the children lack material goods, with books they can imagine a world of possibilities.”

Yohannes first worked in the children’s section of the main library in America. Surrounded by books he had never seen before, he realized how joyful and imaginative children’s literature is. He says, “I always thought of Ethiopia. But how could I bring children’s books to my home country when it had almost no libraries to keep the books in?”

He contacted Jane Kurtz, a writer born in America but brought up in Ethiopia, and together they created the Donkey Mobile Library. The children say that the Library has given them ideas about what they might do in the future. A child called Dareje wants to be a scientist and find a cure for life-threatening diseases. An eleven year-old girl, Fikerte, wants to do research about the moon and discover new facts about outer space. Tamrat, aged 10, comes every time.

“What brings you back here time and time again?” the librarian asks him.

“The stories,” Tamrat replies instantly. 

小题1:How do the children feel when they see the Donkey Mobile Library?

A.Excited.

B.Surprised.

C.Interested.

D.Curious小题2:We can conclude from the passage that      .

A.Ethiopian children have no idea about their future

B.Yohannes and Kurtz share similar life experiences

C.most books in the Donkey Mobile Library were bought in America

D.donkey carts in Awassa usually carry vegetables and tools小题3:According to the passage, the Donkey Mobile Library      .

A.visits the countryside every day

B.was created by Yohannes himself

C.benefits Ethiopian children a lot

D.was the first of its kind in the world小题4:Where is the passage most likely to have been taken from?

A.A book review..

B.A news report

C.A historical story.

D.An advertisement.