问题
单项选择题 案例分析题
患者，男，58岁，胆道结石梗阻性黄疸，拟行胆囊切除总胆管探查取石术，术前病人化验显示肝功能有损伤性改变，黄疸指数202U，心电图显示ST段改变，不正常心电图。
此病人采用何种麻醉为宜（）
A.全麻
B.静脉复合麻醉
C.硬膜外阻滞
D.暂停手术待黄疸指数调至适当水平
E.局麻
答案
参考答案：D
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患者，男，58岁，胆道结石梗阻性黄疸，拟行胆囊切除总胆管探查取石术，术前病人化验显示肝功能有损伤性改变，黄疸指数202U，心电图显示ST段改变，不正常心电图。
此病人采用何种麻醉为宜（）
A.全麻
B.静脉复合麻醉
C.硬膜外阻滞
D.暂停手术待黄疸指数调至适当水平
E.局麻
参考答案：D
Martin is an American boy. He is eight years old. His parents 41 _ five years ago and he is now living with his grandmother in New York. One morning, Jimmy , one of his classmates, came to his home with an exercises book in his hand. Jimmy lives in a house not far from Martin's. They often go to school together. "Would you help me with this maths problem?" Jimmy said as soon as he came into the room. "It's too hard for me and I can't work it out." "Let me try, " Martin said. "I 42 it isn't too hard for me. " Martin tried his best but he couldn't work it out, 43 . "If we had a small computer, all the problems would be 44 for us to do. " Jimmy said. "A small computer . . . , " Martin thought for a minute, then he said, "I've got an idea. We can 45 one in a shop. " "A computer is very 46 , and we don’t have enough money. " "That's OK, " said Martin. "We can ask the new president (总统) 47 some money. He said he would help anyone in trouble. I' m sure he will help us. He is very rich, you know." So they decided to write a letter to the new president. Soon the letter was finished and they hurried to the post office. In front of the post office stood a small box. They 48 the letter into the box carefully and went home happily. The next morning, they 49 the post office on their way to school. They found 50 , the box was not a post box but trash-box (果皮箱).
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