问题 问答题 案例分析题

患儿16个月,发热、咳嗽7天,呼吸困难、烦躁5小时入院。体温39℃~40℃,嗜睡、咳嗽、气促,于外院静滴青霉素3天无好转,入院前5小时突然出现极度的烦躁、喘憋、面色青紫,吸氧后无明显好转来诊。查体:体温39.2℃,脉搏200次/分,呼吸75次/分,血压82/53mmHg;状态差、烦躁、呻吟、呼吸困难、面色发绀,听诊右肺上呼吸音弱,呈管状呼吸音,左肺闻散在中、小水泡音,心音低钝,心率200次/分,腹软,肝肋下3.5cm,剑突下2.5cm,肠鸣音正常;神经系统检查未见异常。血常规:白细胞8×10/L,中性粒细胞占53%;血气分析:pH7.24,PaO45mmHg,SaO<80%,PaC068mmHg,血钠Na129mmol/L,K4.1mmol/L,Cl106mmol/L,HCO9mmol/L;血清抗体检测ADVIgM,血培养阴性;胸片示右肺斑片影,上叶大片实变影,如图。请回答:

请简述治疗原则

答案

参考答案:

治疗原则:采用综合治疗:①吸氧,纠正缺氧;②改善通气,拍背吸痰,及时清除口鼻腔分泌物,保持气道通畅,保证室内温度、湿度在适宜范围内,保证热卡的供给;控制炎症,抗细菌、抗病毒治疗;及时纠正水、电解质、酸碱平衡紊乱;治疗心衰、呼衰及合并症。68mmHg。

④血气pH7.24,PaC068mmHg,HCO9mmol/L。

⑤血钠Na129mmol/L。

单项选择题
阅读理解

China has become Volvo's third largest market, with more of its car models to go on sale in the world's largest auto(汽车) market this year, Chief Executive Office (CEO) of Volvo Cars China said in Tianjin.

Alexander Klose, CEO of Volvo Cars China, told Xinhua at the Ninth Tianjin International Automobile Trade Show, being held from Friday to Wednesday.

Klose said Volvo Cars had entered a new time of fast development, adding that its sales volume in China roared in 2010.

Up to the end of September, Volvo's global sales volume was up 12.5 percent year on year(同年比), compared with 52 percent year-on-year rise in China, he said.

Two new Volvo sales centers opened in Beijing within merely one week in early October, about two months after east China's ZhejiangGeely Holding Group Co acquired(购得)the Swedish brand from the US auto giant Ford for $1.5 billion in early August.

Klose said he was confident of seeing tremendous(巨大的) growth in China's auto market in the next five years. "As the Chinese government has increased the tax rate for large displacement (排量)cars already, we now have a lot of cars below three liters(升), and I think we'll stick to that strategy, as you can see now the XC60 which was introduced today is just two liters," he said.

"As the technology advances, we'll probably even see 1.6 liter engines or 1.5 liter engines in the future," he added.

Volvo Cars is not the only automaker hoping to take advantage of China's rapidly growing auto market.

Bentley, the famous British luxury(豪华) carmaker, will open a new sales center in China at Tianjin Thursday, which is the 11th one in China, according to a press release(新闻发布) by Shanghai-based Zenith Integrated Communications Corp (Zenith) Saturday at the auto show.

Zenth is the public relations agent of Bentley in China. The automaker has sold 421 limousines(大型豪华轿车) to China in 2009, and the goal for 2010 is 777, the release said.

小题1:The word underlined in the third paragraph would probably be___.      

A.shouted loudly

B.increased in large numbers

C.reduced rapidly

D.burned brightly小题2:From this passage we can infer that ___.                       

A.The Ninth Tianjin International Automobile Trade Show was held from Friday to Wednesday.

B.Volvo Cars is a world-famous carmaker in Britain.

C.Of all the auto sales volume Volvo sales volume is only number one in China

D.Volvo sales centers are developing very fast in China recently小题3:The text is mainly about____.                       

A.China Becomes Volvo's 3rd largest market

B.Volvo Cars in China

C.Volvo Sales Volume in China

D.Carmakers in China小题4:How many carmakers are mentioned in this passage which opened and will open new sales centers in China recently?                                 

A.One

B.Two

C.Three

D.Four