患者男性，70岁。体检发现右肺下叶占位病变。一般状况好。胸廓无畸形，双侧呼吸运动对等，双肺听诊呼吸音清晰，未闻及干湿性啰音。心前区无隆起，心界不大，心率84次/分，节律规整，各瓣膜听诊区未闻及杂音。腹部未见异常。胸部CT右肺下叶后基底段约3.5×2.5cm球形病灶，边缘轻度分叶，纵隔淋巴结未见肿大。初步诊断为右肺下叶占位病变。拟行开胸探查，右肺下叶切除、淋巴结清除术。
提示：拟采用Carlen双腔导管气管内插管全身麻醉，术中行左肺单侧肺通气。单侧肺通气有绝对适应证和相对适应证。单侧肺通气的绝对指征是什么（）
A.支气管胸膜漏，食道漏
B.主支气管断裂或外伤
C.肺叶切除
D.胸腔镜手术
E.肺切除
F.食道手术
G.肺脓肿
H.胸主动脉瘤
I.肺内大出血
J.肺灌洗术
参考答案：A, B, D, G, I, J
| 完形填空。 Will you be happy if you have a new Nike T-shirt on? Probably you will. But what if you see a friend 1 a more fashionable (时髦的) and more beautiful one? You may not feel as satisfied 2 you expect to and the feeling of happiness may disappear in a minute. Why are we not so happy as we should be? The secret is: we focus on (专注) what we want instead of what we have. We keep making our list of desires(愿望) longer and longer. As a result, we are not pleased with what we have 3 owned. We say to ourselves, "I'll be happy when this desire is satisfied. " However, another desire appears when this one is met. So we still don't feel happy though we have got what we want. Happiness 4 when we always have new dcsires hard to satisfy. Luckily, there is a way to be happy. Think more about what we have than what we want. Rather than wish you were 5 to have an enjoyable vacation on the beach, think of 6 fun you have had near home. Similarly, instead of hating to do much homework, 7 teachers for making you have the chance to practice more. The list of what you have can also be endless. Each time you find yourself falling into a "I wish life were different" trap (陷阱), take a deep breath and think of 8 you have ever had. Pay more attention to what you have, and you'll probably get more of what you want. 9 example, your good attitude toward doing homework can bring excellent grades in exams because 10 makes perfect. Start to focus on what we have! The more we feel satisfied,the more happily we'll live. | ||||
| ||||
