问题 单项选择题

女性,42岁。不慎摔倒4小时,诉右胸痛。体格检查:神志清,无反常呼吸,右胸压痛,两肺呼吸音稍低,无啰音。胸片:右第7、8、9肋骨骨折,双侧肋膈角锐利。其处理原则是()

A.手术复位内固定

B.肋骨牵引固定

C.加压包扎固定

D.防治并发症

E.早期功能锻炼

答案

参考答案:D

解析:患者诊断单纯性肋骨骨折明确,治疗原则是止痛、鼓励咳嗽排痰、防治呼吸道并发症,而手术复位内固定、肋骨牵引固定和加压包扎固定主要针对于多根多处肋骨骨折所致反常呼吸运动。

单项选择题

Some pessimistic experts feel that the automobile is bound to fall into disuse. They see a day in the not-too-distant future when all autos will be abandoned and allowed to rust. Other authorities, however, think the auto is here to stay. They hold that the car will remain a leading means of travel in the foreseeable future.

The motorcar will undoubtedly change significantly over the next 30 years. It should become smaller, safer, and more economical, and should not be powered by the gasoline engine. The car of the future should be far more pollution-free than present types.

Regardless of its power source, the auto in the future will still be the main problem in urban traffic congestion (拥挤). One proposed solution to this problem is the automated highway system.

When the auto enters the highway system, a retractable (可伸缩的) arm will drop from the auto and make contact with a rail, which is similar to those powering subway trains electrically. Once attached to the rail, the car will become electrically powered from the system, and control of the vehicle will pass to a central computer. The computer will then monitor all of the car’s movements.

The driver will use a telephone to dial instructions about his destination into the system. The computer will calculate the best mute, and reserve space for the car all the way to the correct exit from the highway. The driver will then be free to relax and wait for the buzzer (蜂鸣器) that will warn of his coming exit. It is estimated that an automated highway will be able to handle 10,000 vehicles per hour, compared with the 1,400 to 2,000 vehicles that can be carried by a present-day highway.

What provides autos with electric power in an automated highway system().

A. A rail.

B. An engine.

C. A retractable arm.

D. A computer controller.

单项选择题