问题 单项选择题 案例分析题

女性,46岁胆石症病人,腹腔镜下行胆囊切除手术,有Ⅱ型糖尿病史多年,平时口服降糖药控制血糖,但血糖仍然波动较大。无其他重大器官疾病病史。考虑到术中手术和麻醉的刺激会引起血糖升高,外科医师在术前给病人15单位的普通胰岛素皮下注射。术中采用常规剂量的丙泊酚,瑞芬太尼,阿曲库铵麻醉诱导;麻醉维持采用标准剂量的七氟烷吸入和瑞芬太尼微泵用药。麻醉深度在BIS监测下控制在50左右。术中:输入1500ml生理盐水。40min后手术结束,术中手术和麻醉顺利,保温良好。停用麻醉药物后自主呼吸很快恢复,但1h尚未苏醒。

此时麻醉医师首先要做的检查是()

A.脑部CT,排除脑血管意外

B.血气电解质分析,排除酸中毒、电解质紊乱

C.血糖测定,排除低血糖

D.体温测定,排除低、高体温

E.肝功能检查

答案

参考答案:C

单项选择题 A1/A2型题
填空题

In America there are no nobles or men of letters, and the common folk mistrust the wealthy. Consequently, (1) form the highest political class, and the most cultivated circle of society. They have therefore (2) by innovation, which adds a conservative interest to their natural taste for (3) . If I were asked where I place the American aristocracy, I should reply (4) that it is not composed of the rich, who are united together by (5) , but that it occupies the judicial bench and the bar.
When I started researching this topic, I found an interesting (6) Legal Reform Now. As the name suggests, this web site is devoted to (7) , and it is definitely concerned about the dominance of lawyers in (8) . There I read an article by a (9) from the University of Wisconsin. One observation the UW article (10) is that the legal profession is the dominant profession of the people (11) to public office. For example, about half our representatives and (12) of our senators are lawyers. No other profession (13) having the same number of people in political office.
Effectively, lawyers form our nation’s (14) organized political constituency in America. Lawyers (15) and lawyers interpret our laws. When judges are appointed, the American Bar Association is the only (16) that is consulted to rate the fitness of potential judicial appointees.
Our nation has been in existence for (17) and lawyers have been this nation’s aristocracy since its (18) . Our system works, but do we really want to have a single profession (19) our nation. Specifically, do we want to have the legal profession in charge (20) , that is something to think about.

In America there are no nobles or men of letters, and the common folk mistrust the wealthy. Consequently, (1) form the highest political class, and the most cultivated circle of society. They have therefore (2) by innovation, which adds a conservative interest to their natural taste for (3) . If I were asked where I place the American aristocracy, I should reply (4) that it is not composed of the rich, who are united together by (5) , but that it occupies the judicial bench and the bar.
When I started researching this topic, I found an interesting (6) Legal Reform Now. As the name suggests, this web site is devoted to (7) , and it is definitely concerned about the dominance of lawyers in (8) . There I read an article by a (9) from the University of Wisconsin. One observation the UW article (10) is that the legal profession is the dominant profession of the people (11) to public office. For example, about half our representatives and (12) of our senators are lawyers. No other profession (13) having the same number of people in political office.
Effectively, lawyers form our nation’s (14) organized political constituency in America. Lawyers (15) and lawyers interpret our laws. When judges are appointed, the American Bar Association is the only (16) that is consulted to rate the fitness of potential judicial appointees.
Our nation has been in existence for (17) and lawyers have been this nation’s aristocracy since its (18) . Our system works, but do we really want to have a single profession (19) our nation. Specifically, do we want to have the legal profession in charge (20) , that is something to think about.