问题 单项选择题

男性,55岁。既往有高血压病史,因突然右侧肢体活动不灵进而意识不清2h送医院,头颅CT证实为左侧基底节区出血。现病人出现双侧瞳孔不等大,左侧大于右侧,左侧光反射迟钝,急需采取的治疗为()

A.静脉滴注止血药物

B.20%甘露醇快速静滴

C.保持安静,使用适量镇静药

D.调控血压

E.补钾

答案

参考答案:B

解析:患者因脑出血送院急诊,CT证实为左基底节出血,现病人出现瞳孔不等大,左大于右,左侧瞳孔光反应迟钝,说明有脑疝形成可能,急需采取的治疗应该是降低颅内压、防止脑疝形成,以免进一步压迫脑干生命中枢,导致呼吸、心跳骤停,临床上常用的降颅内压药物为20%甘露醇液,也可选用人血白蛋白、呋塞米(速尿)等药物。

阅读理解

U.S. first lady Michelle Obama and her family have just ended their one-week trip in China. The whole world has paid attention to the two elegant and beautiful first ladies who have made a difference in the relationship(关系) between China and the U.S.A.

Mrs. Obama has visited the Forbidden City, the Great Wall, the Terracotta Warriors, and the pandas. She has tasted Peking Duck and experienced some other Chinese traditional culture. It is hoped that this trip to China can bring a real understanding of our eastern world to the first family of the United States.

Today, the number of exchange students between China and the U.S. has reached more than 4 million every year. There are more than 11,000 people traveling to and from each side of the Pacific(太平洋). If the two countries can increase the exchange in travel, language, cuisine, and cultural understanding, this will help a lot in improving the understanding between the two countries. 

Education was an important theme of Mrs. Obama’s visit, and it is crucial to the development of Sino-US relationship. China has an ancient tradition of placing a high value on education, and the first lady herself is an outstanding example of a person who changed her own destiny(命运) through education. She took education as the key theme of her speech at Peking University, encouraging students from the two countries to learn more about and get wider experience of each other.

小题1:The whole world has paid attention to the two wonderful ladies because ___________.

A. they are elegant and beautiful

B. they have made a difference in the relationship between China and the U.S.A.

C. they pay attention to education

D. they hope students can learn from each other

小题2:Mrs. Obama has visited the following places except___________.

A.Terracotta Warriors

B.the Forbidden City

C.the Great Wall

D.the Summer Palace小题3:The underline word “Sino” in the fourth paragraph probably means ______

A. China        B. Japan        C. Canada        D Australia

小题4:The theme of Mrs. Obama’s speech at Peking University is_________

A.understanding

B.education

C.Sino-US relationship

D.exchange students

多项选择题 X型题