问题 多项选择题 案例分析题

患者女,32岁,因“活动后心悸20年”来诊。查体:体重46kg;R26次/min,HR100次/min,右上肢BP110/61mmHg,右下肢BP130/56mmHg,四肢经皮脉搏氧饱和度均为100%,双肺呼吸音清,胸骨左缘第2、3肋间闻及收缩期2/6级柔和杂音。ECG:窦性心律,HR100次/min。超声心动图:右心大,左心室舒张末径30mm,房间隔连续性中断7mm,左向右分流,室间隔连续性完整,右房室瓣收缩期见少量分流,余瓣膜正常。胸部X线片:双肺血多,心影增大,肺动脉段略膨隆。临床诊断:先天性心脏病,房间隔缺损。

低心排血量综合征的客观指标包括()

A.动脉收缩压<90mmHg,脉压<20mmHg

B.平均动脉压<70mmHg

C.中心静脉压>12cmH2O

D.尿量<0.5ml·kg-1·min-1

E.心排血指数<2.5L·min-1·m-2

F.顽固性代谢性酸中毒,血乳酸含量>20mg

答案

参考答案:A, B, C, D, E, F

阅读理解

阅读理解。

A. The Double Ninth Festival

      It falls on the ninth of the ninth lunar month. People used to

climb mountains on that day. So it is also called a festival of

climbing mountains. Now it has become the Elders' Day.

B. The Notting Hill Carnival

      Between 1956 and 1962 the British government asked people

from the Caribbean to come to England. They worked in the

hospitals and on trains and buses in London. Now every August in

London there is a big carnival with music in the streets of Notting

Hill.

C. Christmas Day

     On December 25th, Christmas Day, people give presents,

send cards and eat a special dinner at home. The children are

usually very excited because they get presents from Father

Christmas ( Santa Claus). In their houses,  people have a special

tree with lights.

D. Diwali

   Between 1962 and 1968, many people from India and

Pakistan came to live and work in Britain. Their most important

celebration every year is Diwali. This is a big festival of lights and

dancing with special food and new clothes. Diwali is usually

between October and November.

E. Chinese New Year

   Like Diwali, this celebration moves its date each year.

Usually it is in January or February. In many big cities the people

build paper dragons, wear masks and have fireworks, lights and

music in the street.

( )1. Father Christmas sends presents to children.

(     )2. You can see fireworks in the street.

( )3. People wear new clothes.

( )4. They came from the Caribbean.

( )5. People always climb mountains with their friends.

单项选择题 A1型题