患者女，45岁，因"睡眠打鼾10年加重伴阵发性睡眠呼吸暂停1年"入_爱下问搜题

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问题多项选择题案例分析题

患者女，45岁，因"睡眠打鼾10年加重伴阵发性睡眠呼吸暂停1年"入院，否认其他重要脏器疾病史。睡眠呼吸监测提示：重度阻塞性睡眠呼吸暂停综合征：查体：身高155cm，体重73ks，BP150／90mmHg，HR70次／分。拟行腭咽成形术。提示：术前会诊发现患者体形肥胖，颈粗短，上颌骨位置偏后，硬腭、软腭和舌体明显增长，估计气管插管困难。

下列麻醉诱导和术中管理恰当的是哪些（）

A.清醒镇静+充分表面麻醉下经鼻盲探插管

B.丙泊酚、瑞芬太尼、司可林诱导插管

C.在麻醉中和清醒后可适当应用降压药物

D.术后应根据血气分析调整吸入氧浓度

E.术前心电图正常者可排除缺血性心脏病可能

F.估计气管插管困难时，首选气管切开

答案

参考答案：A, B, C, D

判断题

电算化会计信息系统使用时，不能用“总分类账户本期发生额及余额对照表”替代当期总分类账。( )

完形填空

阅读下面短文,掌握其大意,然后从 21～40 各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题纸上将该选项标号涂黑。
School was over and I felt quite tired. I sat at the very 21 of the crowded bus because of my anxiety to get home. Sitting there makes me 22 out like a shiny coin in a pile of dull pennies.
Janie, the 23_ , tries to break the uncomfortable atmosphere by striking the match of _ 24 .
I tried to mind my manners and 25 listen, but usually I am too busy thinking about my day. On this day, 26 , her conversation was worth listening to.
“My father’s sick,” she said to no one in 27 , I could see the anxiety and fear in her eyes. “What’s wrong with him?” I asked. With her eyes wet and her voice tight from 28 the tears, she answered, “Heart trouble.” Her eyes 29 as she continued. “I have already lost my mum, so I don’t think I can stand l

osing him.”
I was 30 . My heart ached for her. And this reminded me of the great 31 that my own mother was thrown into when her father died. I saw how hard it was, and 32 is, for her. I wouldn’t like anyone to 33 that.
Suddenly I realized Janie wasn’t only a bus driver. That was 34 her job. She had a whole world of 35 and concerns, too. I suddenly felt very __36____. I realized I had only thought of people as far as what their purposes were in my life. I paid no attention to Janie 37 she was a bus driver. I had 38 her by her job and brushed her off as unimportant.
For all I know, I’m

just another person in 39 else’s world, and may not be 40 . I should not have been so selfish and self-centered. Everyone has places to go, people to see and appointment to keep. Understanding people is an art.

C．conversation

D．disappointment

C．pessimistic