问题 单项选择题

男23岁,包皮上翻未及时复位造成包皮嵌顿3天。查体:包皮内板明显充血、水肿,并有炎性渗出。包皮口在阴茎冠状沟处形成狭窄环,龟头呈紫红色。试行包皮复位失败。下一步临床应如何处理()

A.平卧,口服抗生素继续观察

B.用1/5000的高锰酸钾溶液泡洗

C.局部加压包扎

D.急诊行包皮环切手术

E.急诊行包皮背侧皮肤切开后进行复位

答案

参考答案:E

解析:包皮过长发生包皮嵌顿的治疗首先应行手法复位,若手法复位失败应立即行包皮背侧皮肤切开后进行复位。其他的处理方法都会延误治疗,造成包皮及阴茎头的缺血坏死。

阅读理解

阅读理解。

        Weather changes when the temperature and the amount of water in the atmosphere change. We can

see and feel water coming from the atmosphere when we have rain. But the water must somehow get back

to the atmosphere. Meteorologists call this the water cycle.  

        There are many stages in the water cycle. Rain falls when water vapour in clouds condenses(凝结).

Drops of water form and fall to the ground. The water soaks into the ground and feeds streams and rivers.

A lot of rain falls into the sea. The heat of the sun evaporates some of the water in the ground and in the

rivers, lakes, and the sea. It changes the liquid water into water vapour. The vapour rises onto the air.

Water vapour is normally invisible. On a very damp or humid day, however, you can sometimes see

water vapour rising from a puddle(水坑) or pond in a mist(薄雾) above the water. Water vapour also

gets into the air from living things. Trees and other plants take in water through their roots and give off

water vapour from their leaves. People and land animals drink water and breathe out water vapour. In all

these ways the water returns to the air. There it gathers to form clouds and condenses to form rain. The

rain falls to earth, and the cycle starts again. It continues even if snow or hail(冰雹) fall instead because

both eventually melt to form water. The amount of water vapour in the air depends on the temperature.

The air is more moist(潮湿) in the tropics(热带) than in the cold polar regions.

1. What is the main idea of the passage?

A. Water cycle.

B. Water vapour.

C. How rain forms.     

D. Water, vapour, rain.

2. How many ways of the water returning to the air are discussed in the text?

A. Two.

B. Three.  

C. Four.    

D. Five.

3. Whether water vapour can be seen or not depends on _______.    

A. how much water is evaporated

B. how good your eyes are

C. in which way water is evaporated    

D. climate or weather

4. From the passage we get to know _______.  

A. there is more water vapour in the air in the tropics than in cold polar regions  

B. there is more water vapour in the air in cold polar region than in the tropics  

C. it gets more rain in the tropics than in cold polar regions because there is less vapour  

D. the amount of water vapour in the air depends on how often it rains

单项选择题