问题 多项选择题 案例分析题

患者男,31岁,因双下肢肿痛10余年,B超示下腔静脉近心端处明显狭窄,诊断:布加氏综合征,拟全麻下行下腔静脉右心房人工血管转流术。查体:心率82次/分,呼吸20次/分,血压125/68mmHg。为加强术中及术后监测,行有创血流动力学监测,术前晚9:00在局麻下经右颈内静脉置入肺动脉漂浮导管(Swan-Ganz导管)。

提示:术后36小时,血压下降,多巴胺持续输注6μg/kg/min,心包引流10ml,X线示心影增大,HR:136次/分,BP:83/60mmHg,CVP:18mmHg,PAWP:17mmHg,CO:2.8L/min。应采取哪些治疗措施进行诊断和治疗()

A.心脏B超

B.静注西地兰

C.静注速尿

D.静注心得安

E.控制输注速度

F.持续输注多巴酚丁胺

G.持续输注去甲肾上腺素

答案

参考答案:A, B, C, E, F

完形填空
Recently, a reader asked me about the dangers that pets can face around the house. So, I visited my local animal       last weekend and got some advice to share about how we can make our homes       for our pets.
When I arrived, several pets and their     were in the waiting room. Mr. Smith, with a cat, chatted with me. "My cat will be       for an uncomfortable stomach in a minute," he said. "My children gave       a bowl of milk. However, if she is given milk, she will get a stomachache.”
Just then, the vet (兽医) walked over to us. “Yes, Mr. Smith is      . Only a few people know this, but milk mustn't be fed to cats     some cats can't take it in easily," the vet said. "Other human foods are bad for pets   . For example, if a dog eats chocolate, it will become    ."
I asked the vet what other       there are for pets around the house. "Well,” she replied, “we should not     small things, such as batteries, lying around as they can be eaten by pets. Last month, a small cat was brought     because it had eaten a button which was on the floor without being noticed. "
Before I left, the vet    me some more important advice to share with you:
You should keep all medicines and cleaning products away from pets. Also, pets, such as cats and dogs, sometimes will       their hair if they are unwell, If your pet looks unwell or is acting unusual, you should      your vet immediately. Follow the advice and you can keep your pets safe.
小题1:
A.schoolB.hospital C.market D.museum
小题2:
A.warmB.safeC.cleanD.beautiful
小题3:
A.ownersB.visitorsC.teachersD.actors
小题4:
A.paidB.chosenC.treatedD.returned
小题5:
A.it.B.meC.himD.her
小题6:
A.friendlyB.healthyC.goodD.right
小题7:
A.untilB.thoughC.whileD.because
小题8:
A.as wellB.so farC.as usual D.just now
小题9:
A.brownB.sickC.smartD.comfortable
小题10:
A.secretsB.changesC.dangersD.mistakes
小题11:
A.buyB.useC.leaveD.collect
小题12:
A.inB.offC.onD.down
小题13:
A.offeredB.postedC.wastedD.accepted
小题14:
A.colour B.keep C.loseD.sell
小题15:
A.point to B.ring upC.hear fromD.look after
单项选择题