患者，男性，27岁，5天前受凉后出现发热，体温38．6℃；2天前咳_爱下问搜题

搜题请搜索小程序“爱下问搜题”

问题单项选择题案例分析题

患者，男性，27岁，5天前受凉后出现发热，体温38．6℃；2天前咳少量黄黏痰，发热达40．5℃，伴呼吸困难，来院急诊。查体：急性热病容，神清，听诊双肺呼吸音清，未闻及明显干湿性啰音。心率120次／分，律齐，未闻及病理性杂音。腹部（－）。急查血常规：WBC15×10⁹／L，N96．2％，L2．1％，Hb159g／L，PLT56×10⁹／L。胸片示双肺多发性大片状阴影。腹部B超未见明显异常。

提示：入院动脉血气分析正常；肝肾功能电解质指标正常。给予头孢呋辛经验性治疗，监测血象、痰找病原菌及床旁胸片。入院第二天夜间出现呼吸困难加重，高流量面罩吸氧（8L／min）下血氧饱和度持续下降至70％左右，复查胸片示双肺多发性浸润影较前增大。提问：此时应采取何措施（）

A.抗结核治疗

B.动脉血气分析

C.继续面罩吸氧并加大氧气流量

D.静脉注射咪唑安定缓解呼吸困难

E.毛花苷丙静注

F.呼吸兴奋剂

G.静脉注射吗啡抑制咳嗽

答案

参考答案：B

默写题

补写出下列名篇名句的空缺部分。（只选3小题）

（1）故君子名之必可言也，_______________。君子于其言，_______________。（《论语》）

（2）爱其子，_______________，于其身也，_______________，惑矣！（韩愈《师说》）

（3）西当太白有鸟道，可以横绝峨眉颠。_______________，_______________。（李白《蜀道难》）

（4）_______________，到黄昏、点点滴滴。这次第，_______________！（李清照《声声慢》）

（5）塞上长城空自许，镜中衰鬓已先斑。_______________，_______________！（陆游《书愤》）

完形填空

I was tired and hungry after a long day of work.
When I walked into the living room, my 12-year-old son 36 up at me and said,“I love you.”I didn't know what to say. For several   37 all I could do was to 38 there and looked down at him.My first thought was that he must need   39 with his homework or he was trying to 40 me for some news.
Finally I asked,“What was that all about?”
“Nothing,”he said.“My teacher said we should   41 our parents that we love them and see what they say.It is 42 .”
The next day I called his teacher to find out more about this “experiment”and how the other parents had 43
“Most of the fathers had the   44 reacting（反应）as you did ,”the teacher said.“When I first 45we try this , I asked the children what they thought their parents would say . Some of them thought their parents would have heart trouble.“The 46 is,”the teacher explained, “feeling loved is an important part of 47.It is something all people 48 .What I'm trying to tell the children is that it's too 49 we don't all express those feelings.A boy should be 50 to tell his dad he loves him.”
The teacher, a middle-aged man , understands how 51 it is for some of us to say the things that would be good for us to say.
When my son came to me that evening ,I held on to(抱着)him for 52 second.And just before he 53 away, I said in my deepest, most manly(男子气慨)voice,“Hey, I love you ,too.”
I don't know if saying that made either of us healthier, but it did feel pretty good(感觉很好)，Maybe next time one of my children said“I love you”，it wouldn't take me a whole 54 to think of the right 55 .

B．an experiment

B．reacted（反应）