问题 多项选择题 共用题干题

患者,男性,57岁。因昏迷2小时入院。慢性肾小球肾炎病史16年,慢性肾功能不全(氮质血症期)、肾性高血压半年余,糖尿病(2型)3年。院外口服卡托普利(12.5mg,3次/日)降压,二甲双胍(1.0g,3次/日)降糖。查体:T36.3℃,P114次/分,R23次/分,BP82/56mmHg。深昏迷状态,睑结膜无苍白,肺部无阳性体征,心界向左下扩大,心率107次/分、律不齐、心尖部可闻及Ⅱ级收缩期吹风样杂音,腹部及神经系统无阳性或定位体征发现。

提示:经过2个小时的紧急处理后,在多巴胺(2mg/h)的维持下,患者血压稳定在130/75mmHg左右,但患者意识仍未恢复,复查血钾6.7mmol/L、Na136.0mmol/L、C1-91.4mmol/L、BUN19.3mmol/L、Scr316.0μmol/L,Glu11.8mmol/L,渗透压303.2mOsm/kgH2O,动脉血气分析:pH7.06、BE-18.7mEq/L、HCX4.70mmol/LAG27.5mEq/L、PO216.6kPa、SaO295.3%,血乳酸26.80mmol/L。进一步可选择的正确处理措施是()

A.继续静滴5%的碳酸氢钠

B.血液灌流

C.血液透析

D.血浆置换

E.免疫吸附

F.连续性静脉—静脉血液透析滤过

G.连续性动脉—静脉血液透析滤过

H.连续性静脉—静脉血液滤过

答案

参考答案:A, C, F, G, H

解答题
完形填空
完形填空。
Dear Benter,   
     You have been away exactly two weeks today but it seems more like two years to me!   
     I'm glad to hear you'll be back soon. Are you coming directly home, dear? Or do you plan to make some
stops   1   the way? I hope you'll be home in   2   for Patsy's birthday next Sunday. She is   3   you to show
films to her   4   friends. Patsy keeps asking every day   5   you'll be back. She says you never   6   that story
you were telling her about   7   train that lost its " toot" (喇叭嘟嘟声). You'd better   8   and think up a good
ending   9   it. You know how Patsy is? She  10   be happy until she knows exactly what -   11   to the"toot"
and  12   the little train got it back  13  !   Everything at home is fine except that we   14   you so much!
I've been   15   with the spring cleaning. Yesterday I had Cora  16   in to wash the kitchen walls and she did a
very good  17  of it. The kitchen looks as though it's been repainted. I made some new yellow curtains, and they   18   very beautiful.  
     I went to see your mother yesterday. Her  19   is all gone and she looks very   20  . Your sister Jean looks
wonderful! She has taken off about fifteen pounds since she began dieting. But now she's complaining that
none of her clothes fit! Hope to see you before next Sunday.  
     Love and kisses to you!                  
                                                                                                                          Yours                                                                                                                                             Lynn
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