问题 单项选择题

能够区别气管闭合性损伤与咽、食管闭合性损伤的选项是()。

A.呼吸困难

B.局部疼痛

C.皮下气肿、纵隔气肿

D.咯血

E.病史及局部检查

答案

参考答案:E

解析:气管的闭合性损伤与咽、食管闭合性损伤在症状上很难区别,两者均可出现疼痛、咯血,咽、食管损伤重时可发生呕血。咽、食管损伤可伴喉不同程度的受累,黏膜水肿出现呼吸困难,但常较气管损伤出现的呼吸困难轻。同样,咽及食管损伤后,气体可逸入皮下及筋膜间隙而出现气肿。但两者的病史往往有较大区别,气管闭合性损伤多由钝性外力从正面或侧面撞击颈部引起,位置在颈段气管范围,而咽、食管的闭合性损伤多由进食过程中尖锐异物误伤或患者故意吞咽异物刺伤咽、食管黏膜致咽、食管周围炎引起。局部的一般检查尤其是纤维喉、气管、食管镜检查可确诊。

阅读理解

When I was ten, my mother worked all day so I had to take care of my younger brother. At that time my little brother was about four years old and he missed mum all the time.

One day, after I had given him his dinner, he started crying for mum.He was so young and really needed mum. So I dressed him, put on his shoes, carried him on my back and walked out. Soon he fell asleep. About half an hour later, I found that he had lost a shoe while sleeping. I took him off my back and put him down. I knew we needed to find that shoe, for our mother couldn’t afford new shoes. We had to go back to find it, so I told my brother to wait right there. A man heard it and stopped me just before I walked off. He asked me, “You are leaving your brother here to find the shoe? What would you do if he is not here when you return?” I did not know how to answer that question. He continued, “Its OK if you cant find the shoe, but it is not OK to lose your brother.” Then he sent us to mum’s workplace by taxi.

My whole life I have depended on the kindness of many strangers, I feel regretful that I cannot find them and say thank you. I do not even remember what the man’s face looked like, but he taught me a lesson—people are more important than things.

小题1: Why did the younger brother cry for his mother?

A.Because he was hungry.

B.Because he missed his mother.

C.Because he wanted to sleep.

D.Because he wanted to play outside.小题2:What does the underlined word “regretful” in the last paragraph mean?

A.Sorry.

B.Happy.

C.Excited.

D.Angry.小题3:What did the man mean by saying “It’s OK if you can’t find the shoe, but it is not OK to lose your brother.”?

A.People are more important than things.

B.Things are more important than people.

C.Both the shoe and your brother are important.

D.The shoe is more important than your brother.小题4:According to the passage, which word can best describe the man?

A.Rude.

B.Funny.

C.Silly.

D.Kind.

多项选择题