问题 单项选择题

男性,56岁。因胆石症拟在硬膜外阻滞下行胆道手术。术前心、肺(-),ECG正常。硬膜外穿刺置管顺利,回吸无脑脊液,注入试验量(2%利多卡因3ml),测平面T5~11,循环、呼吸平稳。5min后再注入2%利多卡因7ml,注射后病人烦躁,给予静脉注射哌替啶25mg,氟哌啶2.5mg,病人呼吸困难、呕吐、意识不清,收缩压下降至50mmHg。立即行气管插管,监护仪示室颤,大动脉无搏动,立即行心肺复苏,术后第一天病人完全清醒。其发生心搏骤停的原因,首先应考虑的是()

A.麻醉平面过宽

B.局麻药中毒

C.辅助用药不当

D.蛛网膜下腔麻醉

E.局麻药过敏

答案

参考答案:A

解析:硬膜外麻醉注入试验量(2%利多卡因3ml),测平面T5~11,提示麻醉平面出现过快,提示硬膜下麻醉可能。

完形填空
My husband and I arrived in a new country just a month ago. We were a bit _ __about what was waiting for us. However, when we _ ___at the airport, a tall man with smiling eyes greeted us. The days and months were _ ___made easy for us by this kind man. He greeted us every day with his smiling face. He __ ___us in going to the bank, in buying our groceries, in showing us__ __to buy almost everything. He told us he is our big brother. Twice, we __ __  the match in a coffee shop.
During the first get-together,  he __ __ us that we are lucky--- my husband and I are___ _ in this foreign land. He said he has been__ __for eight years now because he hardly sees his family,__ ___they are in his home country.
During the second get-together ,  he __ __told us that we are his family. He said that he loves us and that he will__ __us because he has been given a __ ___of 45 days to go back to his home country. That night, he spoke these words which__ ___a great effect on my life:“ You changed my life…”That night deep in our hearts we were __ ___by our friend’s words. We texted him upon reaching home,__ ___him for being a Big Brother to us in the foreign land. We told him__ __that we feel safe in going out when we are with him, to which he__ ___,“You are my family here.” On the first week of October, we’re going to_ ___him back from his vacation. We ’ll watch the football match again in that__ __shop that holds dear memories.
小题1:
A.seriousB. crazyC.certainD.worried
小题2:
A.checkedB.droppedC.landedD.settled
小题3:
A.thereforeB.insteadC.alsoD.otherwise
小题4:
A.expectedB.troubledC.comfortedD.accompanied
小题5:
A.whenB.whereC.whyD.whether
小题6:
A.wonB.metC.watchedD.played
小题7:
A.advisedB.warnedC.blamedD.convinced
小题8:
A.togetherB.nearbyC.aroundD.apart
小题9:
A.sickB.lonelyC.cheerfulD.afraid
小题10:
A.onceB.unlessC.asD.although
小题11:
A.secretlyB.jokinglyC.proudlyD.sincerely
小题12:
A.hateB.missC.forgetD.respect
小题13:
A.delayB.rightC.vacationD.date
小题14:
A.hadB.designedC.solvedD.received
小题15:
A.puzzledB.movedC.astonishedD.bothered
小题16:
A.thankingB.forgivingC.repayingD.punishing
小题17:
A.after allB.as wellC.in returnD.in advance
小题18:
A.agreedB.objectedC.addedD.replied
小题19:
A.seeB.informC.callD.force
小题20:
A.bookB.groceryC.coffeeD.sports
单项选择题