问题 单项选择题

男43岁,胃大部切除术中输液时发现其中心静脉压为2.1kPa(16cmH2O),应采取下列哪一措施

A.属于正常,不需采取任何措施
B.将输液速度加快
C.将输液速度减慢
D.给予强心剂,同时加快输液速度
E.给予强心剂,加强心功能

答案

参考答案:C

解析:正常成人中心静脉压约0.4~1.18kPa(4~12cmH2O)。患者中心静脉压为2.1kPa(16cmH2O),高于正常值,提示输液过快或心脏射血功能不全,故应将输液速度减慢。

完形填空
I was told just now in the hospital that I was having a Bell's palsy attack, a condition in which the face muscles tighten because of stress. During the long car ride home, all I could think about was my coming interview. But now I could not even    myself in the mirror and my lips was unable to open normally, surely all the other applicants would have the     I concluded.
However, I wouldn't let my own self-consciousness     me. Not now, not when I had   so hard for so long to be given this opportunity. This was the kind of position I'd dreamed of for all these years. “Mom,        me off on Jacob Street. I'm going to the     .”
“Honey, I don't think you should. You look...       ,” she said, ever so gently.
I knew she was    . But if I didn't, I'd always     if I could have gotten my dream job.
“No, Mom, take me there.”
      , she took me where I wanted to go.
“Hello,” a gray­haired man sitting behind the large desk    me. “Miss Jenkins?”
“Yes. Please excuse me. I'm having a Bell's palsy attack. My doctor explained to me that it would last a few days. I came right from the     .”
“You're very    to come when you're in such a state,” he     ,after a pause.
He spent a few minutes looking through my     .“Is everything on here     ?” he asked.
“Yes, but I     to mention I type seventy five words per minute.”
“Well, you have an impressive background with related experience, you are  _ qualified. When are you      ?” he asked.
I took a deep breath and asked,“You're hiring me?”
“Not only have you got the skills I'm looking for, you also have the    .” He gave me a big smile.
小题1:
A.believe B.forgiveC.recognize D.control
小题2:
A.chanceB.sympathyC.courageD.advantage
小题3:
A.pardonB.stopC.help D.transform
小题4:
A.workedB.turnedC.studiedD.driven
小题5:
A.takeB.dropC.pullD.send
小题6:
A.officeB.supermarketC.doctorD.interview
小题7:
A.weakB.stubbornC.strangeD.angry
小题8:
A.right B.kind C.wrongD.sensitive
小题9:
A.regretB.wonderC.believe D.quit
小题10:
A.HopefullyB.Unexpectedly C.FortunatelyD.Unwillingly
小题11:
A.examined B.doubtedC.greetedD.discouraged
小题12:
A.hospitalB.homeC.officeD.work
小题13:
A.crazyB.funnyC.disrespectfulD.determined
小题14:
A.commentedB.interrupted C.stressed D.complained
小题15:
A.faceB.applicationC.situationD.health
小题16:
A.incredibleB.normalC.correctD.contradictory
小题17:
A.failedB.focusedC.pretendedD.demanded
小题18:
A.narrowlyB.certainly C.possiblyD.probably
小题19:
A.accessibleB.convenient C.availableD.energetic
小题20:
A.appearanceB.disadvantageC.qualificationD.character
单项选择题