问题 单项选择题

急性型DIC高凝期患者的治疗原则,除消除病因、治疗原发病外,应首先考虑

A.应用抗血小板药物
B.补充水与电解质
C.积极抗纤溶治疗
D.及早应用肝素
E.输注全血或血浆

答案

参考答案:D

解析:[解题思路] 急性型DIC高凝期的患者应首选及早应用肝素,目的是及时阻断凝血因子及血小板形成的高凝状态并阻断其消耗性出血。输注全血或血浆是错误的。在高凝状态下,提供凝血因子(全血或血浆),会加重DIC的发展,使病情更加恶化。
[命题规律] 考察“急性型DIC的处理”。重点掌握。

阅读理解

A friend of mine named Paul received an expensive car from his brother as a Christmas present. On Christmas Eve when Paul came out of his office, a street urchin was walking around the shining car. “Is this your car, Paul?” he asked.

Paul answered, “Yes, my brother gave it to me for Christmas.” The boy was surprised. “You mean your brother gave it to you and it didn’t cost you nothing? Boy, I wish…”He hesitated.

Of course Paul knew what he was going to wish for. He was going to wish he had a brother like that. But what the boy said surprised Paul greatly.

“I wish,” the boy went on, “that I could be a brother like that.” Paul looked at the boy in surprise, then he said again, “Would you like to take a ride in my car?”

“Oh yes, I’d love that.”

After a short ride, the boy turned and with his eyes shining, said, “Paul, would you mind driving in front of my house?”

Paul smiled a little. He thought he knew what the boy wanted. He wanted to show his neighbours that he could ride home in a big car. But Paul was wrong again. “Will you stop where those two steps are?” the boy asked.

He ran up to the steps. Then in a short while Paul heard him coming back, but he was not coming fast. He was carrying his little crippled brother. He sat him down on the step and pointed to the car.

“There she is, Buddy, just like I told you upstairs. His brother gave it to him for Christmas and it didn’t cost him a cent. And some day I’m going to give you one just like it …then you can see for yourself all the nice things in the Christmas window that I’ve been trying to tell you about.”

Paul got out and lifted the boy to the front seat of his car. The shining-eyed older brother climbed in beside him and the three of them began an unforgettable holiday ride.

注:urchin顽童, hesitate犹豫, , crippled残疾,cent 美分

小题1:The street urchin was very surprised when _______________

A.Paul received an expensive car

B.Paul told him about the car

C.he saw the shining car

D.he was walking around the car小题2:From the story we can see the urchin _______________

A.wished to give his brother a car

B.wanted Paul’s brother to give him a car

C.wished he could have a brother like Paul’s

D.wished Paul could be a brother like that小题3:The urchin asked Paul to stop his car in front of his house ____________

A.to show his neighbours the big car

B.to show he had a rich friend

C.to let his brother ride in the car

D.to tell his brother about his wish小题4:We can infer(推断) from the story that___________

A.Paul couldn’t understand the urchin

B.the urchin had a deep love for his brother

C.the urchin wished to have a rich brother

D.the urchin’s wish came true in the end小题5:The best name of the story is ____________

A.A Christmas Present

B.A Street Urchin

C.A Brother Like That

D.An Unforgettable Holiday Ride

填空题