问题 问答题 简答题

阐述脑出血的一般处理方法。

答案

参考答案:

脑出血的一般处理方法:①一般应卧床休息2~4周,保持安静,避免情绪激动和血压升高。严密观察体温、脉搏、呼吸和血压等生命体征,注意瞳孔变化和意识改变。②保持呼吸道通畅,清理呼吸道分泌物或吸入物,如果PaO<60mmHg或PaCO>50mmHg应吸氧,使动脉血氧饱和度维持在90%以上,PaCO保持在25~35mmHg之间,必要时及时行气管插管或切开术;有意识障碍、消化道出血者宜禁食24~48小时,必要时应排空胃内容物。③水、电解质平衡和营养,每日入液量可按尿量+500ml计算,如有高热、多汗、呕吐或腹泻者,可适当增加入液量。维持中心静脉压5~12mmHg或肺楔压在10~14mmHg水平。注意防止低钠血症,以免加重脑水肿。每日补钠50~70mmol/L,补钾40~50mmol/L,糖类13.5~18g,补充热量(6.280~7.536)×10J/d。④调整血糖,血糖过高或过低者,应及时纠正,维持血糖水平在6~9mmol/L。⑤明显头痛、过度烦躁不安者,可酌情适当给予镇静止痛剂;便秘者可选用缓泻剂。

听力题
完形填空
Nowadays, a hospital always manages to keep its beds full. This is good on the one hand, and it’s bad on   36  hand.
One day, I went to see a sick friend at the hospital. I first went to the   37  desk, where I could get a permit to visit the patient.
  38  I could ask which room my friend was in, the lady set down my name, age, filled out a form and   39  a bell. I was just about to tell her what I was coming for when two men arrived with a wheelchair,   40  me in it and pushed me down the hall.
“I’m not   41 ,” I shouted. “I’m just looking for a friend.”
“When he comes,” one man said, “we’ll   42  him up to your room.”
In a minute I   43  myself in a small room. In no time they undressed me and covered some other things   44  me. One man said “If you need anything, press the button.”
“I want to get my   45  back.” I begged.
“Oh, you can   46  us,” a voice said, “Even if the   47  happens, we will see that your wife will get everything.” They left and locked the door   48  them.
I was trying to think of how to escape by the door when Dr. Ward came in with several of his   49 .
“Thank God you finally came,” I said.
“It hurts that badly?” he asked.
“No, on the contrary, I am not ill   50 .”
Dr. Ward looked   51 . “If you don’t feel any pain, that means it’s much more   52  than we expected.” Then he turned to his students, “This is the most difficult kind of patient to deal with because he refuses to   53  that he is ill. __54__ he won’t tell us where it hurts, he will never be well again until we find the hurt out for   55  by doing exploratory surgery (手术探查) .”
小题1:
A.anotherB.otherC.the otherD.others
小题2:
A.meetingB.officeC.informationD.medicine

1,3,5

 
小题3:
A.BeforeB.UntilC.WhileD.When

小题4:
A.beatB.rangC.struckD.took
小题5:
A.pushedB.placedC.pulledD.invited
小题6:
A.wellB.sickC.goodD.healthy
小题7:
A.commandB.carryC.sendD.order
小题8:
A.foundB.realizedC.feltD.understood
小题9:
A.onB.fromC.upD.to
小题10:
A.moneyB.friendC.clothesD.form
小题11:
A.upsetB.expectC.wonderD.believe
小题12:
A.bestB.hardestC.worstD.easiest
小题13:
A.behindB.before C.beside D.by
小题14:
A.friendsB.students C.relativesD.teachers
小题15:
A.at alB.in allC.after allD.above all
小题16:
A.excitedB.worriedC.satisfiedD.surprised
小题17:
A.interestingB.comfortableC.seriousD.pleasant
小题18:
A.addB.settleC.concernD.recognize
小题19:
A.Before B.SinceC.WhenD.As soon as
小题20:
A.himselfB.themselvesC.yourselvesD.ourselves