问题 单项选择题 A1/A2型题

患儿,男,7岁。水肿、血尿、少尿6天,头痛、恶心、呕吐3天。急诊时忽然发生惊厥,随即昏迷。BP160/94mmHg(21/12.5kPa),除给予镇静剂外,处理应首选()

A.脱水剂静推

B.硝普钠静滴

C.硫酸镁静滴

D.利血平肌注

E.血液透析

答案

参考答案:B

解析:本例患儿水肿、血尿、少尿,血压升高、即为肾小球肾炎的表现;BP160/94mmHg,头痛、恶心、呕吐3天,忽然发生惊厥,随即昏迷,表明并发高血压脑病。对于高血压脑病的治疗原则为选择降压效力强而迅速的药物,首选硝普钠,有惊厥者及时止惊。本例患儿除给予镇静剂外,同时考虑血压高于150/100的底线值,故应同时静点硝普钠降压。

单项选择题
单项选择题

American Museum of Natural History is one of the largest natural and historic museums in the world and one of the main natural history research and education centres in the United States, set up in 1869 and located in the west of the Central Park, Manhattan District, New York. It (1) 7 hectares in its total area, (2) classical types of buildings. The (3) of ancient creatures and humanity is (4) the first place of all the museums in the world, (5) the representative samples from South America, Africa, Europe, Asia and Australia were collected, besides those from the (6) country, the United States.In the museum, there are five kinds of exhibits, including astronomy, mineralogy, human history, and animals in the (7) times and those in modern times. There are thirty-eight exhibition halls with different (8) from 500 to 1,500 square metres. Besides these, there is a Roosevelt Memorial Hall in (9) of President Roosevelt who supported the (10) of the museum, which is also used to have a special exhibition, showing the new important (11) on natural sciences and (12) affairs and social problems, and special topics connected closely with the life of the citizens. Besides this, it is also used for avocation (13) to have all kinds of scientific activities in the laboratories, centres of natural science and centres for citizens. There are more than 10 (14) research departments mainly(15) for collection of samples, research and work of publication.In the museum, there are (16) and sub-libraries of Aulspond ancient amniote, with about 300 thousand books and magazines (17) natural history, many of(18) are very valuable monographs for the first edition. It has published many expert books and magazines, and a large number of propaganda materials, (19) which are the two magazines, Natural History and Members of Museum that have the biggest (20) of their magazines.

17()

A.of

B.for

C.from

D.on