女性，61岁。慢性咳喘20年。近5年来动则气急，3d前"感冒"自服"感冒通"后热退，但气急、咳嗽加重，昨夜因失眠服地西泮（安定）后入睡，今晨家人见其呼之不应，送来急诊。体检见神志恍惚，呼吸浅速，频率28次／分，紫绀明显。两肺散在干湿啰音。提示：呼吸空气条件下动脉血气分析示pH7．40，PaCO210．6kPa（80mmHg），PaO25．3kPa（40mmHg）。
提问：除氧疗外，需要下列哪些抢救治疗措施（）.
A.气管插管、辅助机械通气
B.试用中枢兴奋剂和呼吸兴奋剂，观察神志情况及PaCO2改善情况
C.病因治疗：积极控制感染
D.舒张支气管，降低气道阻力
E.纠正酸碱失衡，改善呼吸肌肌力
F.唤醒神志，改善咳嗽排痰功能
G.营养支持，保证患者能量和热量的需要
参考答案：A, B, C, D, E, G
The old woman was wandering in the shop. She was ____36 ___; her clothes were torn; she gave off a strong _____37____ of alcohol (酒精) and cigarettes; most of her teeth were ______38__. The image of a miserable person(可怜人) _____39____ before me. She stopped and asked me for_____40_____. I gave her some change and invited her to lunch. She ______41____, so we went across the street to an outdoor cafe. The waitress was _____42____ by the presence of this woman and didn't want to serve us, but _____43____ herself. The old woman had the lunch so _____44____ that the food disappeared almost as soon as it arrived. When we were ready to leave, I was feeling pretty _____45____ about myself and then she asked for a _____46____. It was then that I had to face all the _____47____ bias (偏见) I had for this woman. I gave her a passing type of hug (应付差事的拥抱), ______48___ I immediately felt shame. She ______49___ me for lunch and began to leave. I stood there for a moment and _____50____ I had failed to give this woman the one thing that ____51_____ nothing —love. I caught up with her and asked if I could give her a _____52____ hug and she agreed. I got past the strong smell and gave her the best hug I've ever given to _____53___ .Now I saw a big smile on her face and it lit my path as we ____54____. The lesson I learned was that if you're going to _____55___, then give it your all and get it right the first time.
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