问题 单项选择题 A3/A4型题

初产妇,37岁,孕1产0,胎膜已破3天,临产2天,自觉胎动消失半天,由乡卫生院转来。体检:体温39.9℃,脉搏124次/分,血压90/60mmHg,胎位LOA,先露头+2,胎心110次/分,胎儿监测提示晚期减速,宫体压痛,尿色清,宫口开张2cm,血分析结果:白细胞2.2×10/L,中性95%,淋巴5%

产后24小时,产妇寒战、高热,体温高41℃,心率140次/分,血压45/15mmHg,腹部压痛、反跳痛阳性,宫体压痛阳性,升压药无效,即刻处理哪项最恰当()

A.静滴抗生素以抗感染

B.使用肾上腺皮质激素以抗休克

C.纠正酸中毒和抗感染

D.抗休克抗感染同时输注白蛋白

E.抗休克抗感染同时行子宫切除术

答案

参考答案:E

阅读理解

阅读短文,根据其内容回答问题。

     Five million people visit Grand Canyon in the US every year. For the purpose of helping protect Grand

Canyon for your fellow visitors and future generations, please follow the guidelines below.

     Camping To protect the park, camping is allowed only within permitted camp-grounds. Permits are

required for ovemight camping at the North Rim. Advance book- ing can be received by mail. Please write:

Information Center, P.O. Box 129, Crand Canyon, AZ 86023.

     Fires Because of the extreme fire danger, campfires are not allowed except at Mather and Desert View

campgrounds. Collection of firewood is not allowed either.

     Hiking Please stay on permitted paths. Otherwise you may destroy desert plants. Pack out what you

pack in, so you leave no signs of your visit. It is important to keep in mind that you are in a national park

where wildlife exists.

     Weather The weather at Grand Canyon can change very quickly. With so much rock, lightning (闪电)

causes a particular danger during sudden summer storms. These storms also frequently bring floods inside

valleys, a danger to hikers. Watch the skies and check daily weather reports.

     Wildlife Do not feed park wildlife. There have been a few cases at Grand Canyon National Park where

deer were purposely shot because there are plastic bags that left them sick and weak. Hungry deer can be

danger and have kicked and bitten visitors at Grand Canyon. Some other animals will also beg and bite. For

your own safety and the well-being of the animals, please do not feed wildlife, no matter how gentle they

may appear.

1. Do five million people visit Grand Canyon in the US every year?

    ____________________________________________________________________

2. Why aren't campfires allowed except at Mather and Desert View campgrounds? 

    ____________________________________________________________________

3. How is the weather at Grand Canyon? 

    ____________________________________________________________________

4. How many guidelines are there in this passage? 

    ____________________________________________________________________

5. What is the main purpose of the passage? 

    ____________________________________________________________________

填空题