问题 多项选择题 案例分析题

患者女性,53岁,因阵发性头痛、头晕、胸闷、心悸5年,加重3个月入院,诊为右肾上腺嗜铬细胞瘤,拟行腹腔镜下肾上腺肿瘤切除术。

患者经术前准备,目前血压控制良好,电解质正常,血容量得到适量补充,拟于次日行腹腔镜下肾上腺嗜铬细胞瘤切除术。下列哪些叙述是错误的?()

A.麻醉方法首选单纯连续硬膜外麻醉

B.麻醉方法首选全身麻醉

C.术中应采用长效α受体阻滞剂和β受体阻滞剂控制血压和心率

D.因腹腔镜手术创伤小,故无需动脉和中心静脉测压监测

E.嗜铬细胞瘤切除后,仍需维持降压

F.术中严密观察,注意有无胸膜损伤或气胸的发生

答案

参考答案:A, C, D, E

单项选择题
单项选择题

The history of African—Americans during the past 400 years is traditionally narrated (1) an ongoing struggle against (2) and indifference on the part of the American mainstream, and a struggle (3) as an upward movement is (4) toward ever more justice and opportunity.

Technology in and of (5) is not at fault; it’s much too simple to say that gunpowder or agricultural machinery or fiber optics (6) been the enemy of an (7) group of people. A certain machine is put (8) work in a certain way—the purpose (9) which it was designed. The people who design the machines are not intent on unleashing chaos; they are usually trying to (10) a task more quickly, cleanly, or cheaply, (11) the imperative of innovation and efficiency that has ruled Western civilization (12) the Renaissance.

Mastery of technology is second only (13) money as the true measure of accomplishment in this country, and it is very likely that by (14) this under-representation in the technological realm, and by not questioning and examining the folkways that have (15) it, blacks are allowing. (16) to be kept out of the mainstream once again. This time, however, they will be (17) from the greatest cash engine of the twenty-first century. Inner-city blacks in particular are in danger, and the beautiful suburbs (18) ring the decay of Hartford, shed the past and learn to exist without contemplating or encountering the tragedy of the inner city.

And blacks must change as well. The ways that (19) their ancestors through captivity and coming to freedom have begun to loose their utility. If blacks (20) to survive as full participants in this society, they have to understand what works now.

8()

A.for

B.off

C.on

D.at