问题 单项选择题 案例分析题

患者女性,69岁,退休教师,家人发现其反常昏睡不起2小时呼救120。既往有高血压史,1个月前有发作性右侧肢体麻木、无力病史。医务人员在家中检查发现:血压100/60mmHg,P68次/分,R16次/分,能被叫醒;回答问题时口齿不清,答完后马上又进入深睡眠状态,难以唤醒;双侧瞳孔等大等圆,对光反射灵敏;右侧鼻唇沟变浅,伸舌右偏,右侧肢体肌力减退,右下肢肌力约4级,右上肢肌力3~4级,右上肢肌张力稍高;右侧霍夫曼征(+),右侧巴宾斯基征(±);心、肺、腹检查无异常发现。

出现下列哪种情况时不宜采取溶栓治疗()

A.患者发病达5小时

B.尚能被叫醒

C.呕吐大量咖啡色样胃内容物,血小板计数≤100×109/L

D.血压100/60mmHg

E.CT等检查无颅内出血征象

答案

参考答案:C

选择题
单项选择题

Eddie McKay, a once forgotten pilot, is a subject of great interest to a group of history students in Canada.

It all started when Graham Broad, a professor at the University of Western Ontario, found McKay’s name in a footnote in a book about university history. Mckay, was included in a list of university alumni who had served during the First World War, but his name was unfamiliar to Broad, a specialist in military history. Out of curiosity, Broad spent hours at the local archives in a fruitless search for information on McKay. Tired and discouraged, he finally gave up. On his way out, Broad’s glance happened to fall on an exhibiting case showing some old newspapers. His eye was drawn to an old picture of a young man in a rugby uniform. As he read the words beside the picture, he experienced a thrilling realization. "After looking for him all day, there he was, staring up at me out of the exhibiting case," said Broad. Excited by the find, Broad asked his students to continue his search. They combed old newspapers and other materials for clues. Gradually, a picture came into view.

Captain Alfred Edwin McKay joined the British Royal Flying Corps in 1916. He downed ten enemy planes, outlived his entire squadron as a WW1 flyer, spent some time as a flying instructor in England, then returned to the front, where he was eventually shot down over Belgium and killed in December 1917. But there’s more to his story. "For a brief time in 1916 he was probably the most famous pilot in the world," says Broad. "He was credited with downing Oswald Boelcke, the most famous German pilot at the time. " Yet, in a letter home, McKay refused to take credit, saying that Boelcke had actually crashed into another German plane.

McKay’s war records were destroyed during World War Two air bombing on London-an explanation for why he was all but forgotten.

But now, thanks to the efforts of Broad and his students, a marker in McKay’s memory was placed on the university grounds in November 2007. "I found my eyes filling with tears as I read the word ’deceased’ next to his name." said Corey Everrett, a student who found a picture of Mckay in his uniform. "This was such a simple example of the fact that he had been a student just like us, but instead of finishing his time at Western, he chose to fight and die for his country. \

McKay’s flying documents were destroyed in ().

A.Belgium

B.Germany

C.Canada

D.England