患者，女性，15岁。特发性脊柱侧凸，拟行后路脊柱侧凸矫形内固定术。平时体育活动时，比其他同学容易呼吸急促。
脊柱侧凸手术最佳麻醉方法是什么（）。
A.没有一个简单答案，主要问题是麻醉要适合于脊髓监测
B.使用静脉麻醉药（如丙泊酚和麻醉性镇痛药）
C.静脉麻醉药复合低剂量的吸入麻醉药（如0.4%异氟烷或0.7%七氟烷）
D.使用氧化亚氮和强效吸入麻醉药
E.有肌病患者避免使用琥珀酰胆碱
参考答案：A, B, C, E
 As my friend was passing some elephants，he suddenly stopped．He was confused by the fact that these huge animals were being held by nothing but a small rope．The rope was tied to their front legs． It was that the elephants could break away from the ropes at any time．But for some ，they did not． My friend saw a trainer nearby and asked why these elephants just stood there and didn't to get away． “Well，” he said，“when they are very and much smaller，we use the same size rope to tie them．At that age，it's enough to hold them．As they grow up，they are used to that they cannot break away．They believe the rope can hold them，so they never try to break free．” My friend was amazed．These animals could at any time break free， because they believed they couldn't，they were stuck right where they were． Like the elephants，how many of us go life hanging onto a belief that we cannot do something，simply because we at it once before? How many of us are being held back by old，outdated that no longer serve us?
|
