患者女，28岁，妊娠6个月，独自夜宵（蒸蛋羹）后30min上腹痛，恶

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问题单项选择题案例分析题

患者女，28岁，妊娠6个月，独自夜宵（蒸蛋羹）后30min上腹痛，恶心，不伴吐泻，无不洁饮食史，来院急诊。查体：T37℃，P80次/min，R14次/min，Bp110/70mmHg。步入诊室，全身皮肤、黏膜无黄染及淤点。双肺呼吸音正常，未闻及干、湿啰音，心率80次/min，律齐，无杂音。下腹膨隆，上腹软，轻度压痛，无反跳痛，肝、脾不大，肠鸣音存在。

患者及家属急迫要求镇痛治疗，应选择的处理方法是（）

A.立即肌内注射阿托品0.5mg

B.立即肌内注射噻替哌50mg

C.立即口服埃索美拉唑40mg

D.立即静脉给予洛赛克40mg

E.立即肌内注射地西泮10mg

答案

参考答案：E

完形填空

During my last year of junior high school, our teacher, Mrs Debby, gave us a ____1___. I was a hard-working student and I did well in all subjects. I was ____2_____ that I had nailed this test and breezed through (轻松答完) the questions ___3____ I read the last one: ‘What is the ___4____ name of the woman who cleans the school?’
Of course I thought that ___5_____ have been a joke. I saw the cleaning woman every day. She was short and about 50 years old. She had dark hair. But ___6____ would I know her name? I had never talked with her before. In fact, I’d never ___7____ thought about talking to her. I looked at my paper and started to feel rather ___8____. Finally, I handed in my paper, leaving the last one____9___.
Before the quiz (随堂测验) ended, one student asked if the last question would be ___10___ in our grades. “Of course,” the teacher said, “In your life, you will meet many people. They are all ____11___. They deserve (理应得到) your attention and care, even if all you do is to____12___ and say hello.”
I’ve never___13____ that lesson. Everyone deserves my ___14_____ and I should get to know all of the people ___15____ work and live around me. That is, perhaps, the most important lesson of my life. I also later learned that the cleaning woman’s first name was Hannah.

小题1:

A．match