问题 多项选择题 案例分析题

男性患者,68岁,慢性咳嗽咳痰20年,活动后气短伴双下肢水肿5年,近一周上述症状加重伴有发热,查体:神志清楚,口唇发绀,颈静脉怒张,桶状胸,两下肺可闻及湿啰音,双下肢水肿。血常规示:WBC11×109/1,中性粒细胞86%。

COPD急性加重期应用NIPPV的适应证包括()

A.中至重度呼吸困难,伴辅助呼吸肌参与呼吸并出现胸腹矛盾运动

B.中至重度酸中毒(pH<7.30~7.35)和高碳酸血症(PaCO2>45~60mmHg)

C.嗜睡、意识障碍

D.呼吸抑制或停止

E.呼吸频率>25次/分

F.痰液黏稠或有大量气道分泌物

答案

参考答案:A, B, E

阅读理解

阅读理解。

     Peter was mad on mountains. Climbing was the love of his life. Church towers, seaside cliffs, rock faces,

ice mountains, anything-"If it's there," he used to say, "then I want to climb it." So the news of his marriage

gave me a surprise. I'd never known him to take much interest in girls. Well, well, Peter was a married man!

I couldn't get over it. I wondered whether his wife would try to stop some of risky adventures.

     She was French perhaps-from that place where he usually spent his holidays. Chamonis, wasn't it? From

Chamonis he'd climbed Mont Blanc on his seventeenth birthday, and one of the Aifuilles the day after! That

was it, then, she was French from a family, most of whom like climbing. No doubt. No other explanation.

     A month later I met them both in town. Anna surprised me because she was English. She was a dancer

in the theater. "Never climbed more than sixty steps in my life," she told me. "Peter has his interests, and I've

got mine. No problems." "None at all," Peter said, smiling.

     "Where did you spend your honeymoon?" "I flew to New York to see the drake Dancers on Broadway.

A wonderful show!"

     Peter said, "I didn't want to miss the good weather. So I went to Switzerland and climbed the north face

of the Eiger with Allen Dunlop. Great fun, the Eiger. Grand place for a honeymoon! I'll show you the photos

we took one day."

1. "Peter was mad on mountains" means _____.

A. he disliked climbing mountains

B. he was angry on mountains

C. he lost his senses on mountains

D. he enjoyed climbing mountains very much

2. The phrase "risky adventures" means _____.

A. expensive adventures

B. dangerous adventures

C. terrible adventures

D. unkind adventures

3. According to the passage, after Peter's marriage _____.

A. he would stop mountain climbing because his wife didn't Iike it

B. his wife would stop him from mountain climbing

C. he himself would give up his love

D. Peter would continue his love and so he did

4. The writer had thought the only reason why Peter married was that the girl _____.

A. might be French living near the mountain, and from a mountaineer family

B. would not stop his climbing

C. perhaps came from France

D. might live near the mountain

5. Peter and Anna's marriage is probably _____.

A. a failure because neither of them loved the other's love

B. happy because each of them respected the other's love

C. painful because either of them would do their own thing

D. a mistake because either of them wouldn't care the other's love

单项选择题