女性，29岁，心前区疼痛，低热，活动后气促3天入院。体查：体温3_爱下问搜题

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问题单项选择题案例分析题

女性，29岁，心前区疼痛，低热，活动后气促3天入院。体查：体温38℃，血压100／75mmHg，心率100次／分，律齐。心音稍低钝，心尖区可闻双期心包摩擦音，X线见心影呈烧瓶状，心缘搏动减弱，ECG见除aVR外，广泛ST段抬高，弓背向下，血常规白细胞、血红蛋白均正常。两周前曾有上呼吸道感染史，入院初步诊断为急性非特异性心包炎。

该例抽液过程顺利，第一次抽出淡黄色液体约600ml，拔出穿刺针。常规消毒，盖消毒纱布。术后约3min，患者出现冒汗，气促，双肺布满湿性啰音，频繁咳嗽，咳出粉红色泡沫痰。这时，应考虑为（）

A.抽液过多引起纵隔摆动

B.痛性休克

C.抽液过多、过快，诱发左心衰

D.损伤血管，引起心脏压塞

E.胸膜反应

答案

参考答案：C

判断题

商业银行与其他金融机构在功能上有一个重要区别，即商业银行可以创造信用存款，而其他金融机构不能。()

完形填空

After 21 years of marriage，my wife wanted me to take another woman，my widowed mother, out to dinner and a movie．Due to the 31 of my work and my three children，I visited her only 32 ．That night I called inviting her to go out．Though a bit   33 ，she accepted it happily．
That Friday after work，I drove over to 34 her up．On reaching her house，I noticed that she seemed to be nervous about our 35 ．Wearing the dress she had worn to    36   her last wedding anniversary，she smiled like an angel．
We went to a  37  that，although not elegant，was very comfortable．After we sat down，I    38 my eyes and saw Mom sitting there staring at me．A smile was on her lips．“I used to have to   39  the menu when you were smal1，”she said．“Then it’s time you relaxed and let me return the   40 ，”I responded．During the dinner，we had such a   41 conversation-all about each other’s life—that we 42 the movie．When back home, she said, “Pity we didn’t see the film．Yet I’ll go out with you again, but only if you let me   43 you．” I agreed．
A few days later，Mother died of a massive heart attack．It   44 so suddenly that I had no 45  to do anything for her．some time later，I   46  an envelope of a copy of a restaurant receipt from where mother and I had   47  ．An attached note said，“I paid this   48   in advance．I wasn‘t sure whether I could be there；but nevertheless，I paid for two—one for you and the other for your wife．You’ll never know   49   that night meant for me．I love you, son．”
At that moment．I understood the importance of giving our loved ones the time they   50   because these things can never be put off till “some other time”．

A．occasionally

D．immediately

B．embarrassed

D．discouraged

A．congratulate