患者女，28岁。间断夜间抽搐5年、反复晕厥12h入院。发作时有意识_爱下问搜题

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问题多项选择题案例分析题

患者女，28岁。间断夜间抽搐5年、反复晕厥12h入院。发作时有意识丧失和尿失禁。其兄有类似病史，5岁时夭折，死因不明。查体：Bp100/60mmHg。心率48次/min，律不齐，无杂音。神经系统检查（－）。

此病例应尽快做的处理包括（）（提示：入院后患者反复出现意识丧失、四肢抽搐。心电图示：窦性心动过缓（54次/min），Q-T间期540ms，多形性室性期前收缩。晕厥发作时呈尖端扭转型室性心动过速。血清电解质，肝、肾功能均正常。）

A.吸氧

B.连续心电图监护

C.应用普萘洛尔60mg/d

D.备好心律转复除颤器

E.持续抽搐、意识丧失不能缓解，非同步电复律

F.静脉注射苯妥英钠

答案

参考答案：A, B, C, D, E

单项选择题

流行性乙型脑炎患者，发热39.7℃，呕吐、昏迷，但对疼痛刺激有反应，偶有抽搐，巴宾斯基征阳性，白细胞计数20×10⁹/L，中性粒细胞0.85，应诊断为乙脑的哪一型

A．暴发型
B．极重型
C．重型
D．普通型
E．轻型

完形填空

完形填空（共20小题；每小题1.5分，满分30分）
Two days before Thanksgiving, I was trying to open my mouth wide enough for a mirror and a roll of steel wire. Metal braces (牙齿矫正器)had been on my   31  for weeks, but this was the day for the wire to be adjusted. Only those who have had braces will understand the terrible   32  of being “wired”. For the next 24 hours, it felt like every tooth was being   33  slowly by a giant clawhammer (拔钉锤). 34  drinking water caused pain.
By Thanksgiving Day, I had got used to it.   35  I didn’t use my teeth, the pain was bearable. But this was a day when teeth had to   36  longer than usual. We were   37  at my grandparents’ house with relatives. The house was filled with so many pleasant   38  that we could hardly resist the food. When grandma said, “Dinner is ready!” all the kids   39  to be first in line. I was so excited that I    40  the braces in my mouth and   41  my way up to the head of the line.
I piled my plate high with my favorite corn-on-the-cob(玉米棒子)and   42  my mouth to enjoy it. The pain was   43 . I felt I would never be able to eat again. I put my plate away and ran outside in   44 .
Grandma then took my plate to the   45 . She cut all the corn off that cob and rescued me from my   46 . She handed me my plate piled high with corn. “Thanks,” I said   47 . Then I looked up and   48  a strange light in her eye, a light that is still   49  to me after more than fifty years. That was the Thanksgiving when I discovered something more   50  than good food.

小题5:As long as B.Even though C.In case D.As though

A．experiences

小题10:A thought of B.got out of C.complained about D.forgot about