问题 问答题

男性,45岁,头痛3个月,便秘用力时加重,多见于清晨及晚间,常伴有恶心,有时呕吐,偶发癫痫。经CT检查诊断为颅内占位性病变。入院时体检:昏迷,血压150/88mmHg,呼吸16次/分,脉搏56次/分。
问:(1)病人目前出现何种问题为什么
(2)避免颅内压升高的护理措施包括哪些

答案

参考答案:(1)该病人出现了颅内压升高,原因是颅脑肿瘤
使颅腔内容物体积增加,超过颅腔可代偿的容量,导致颅内压持续升高,出现头痛、呕吐、视神经盘水肿。
(2)①保持呼吸道通畅,及时清理呼吸道分泌物;取平卧位,避免颈部扭曲;注意基础护理。
②避免胸腹腔增压,防止便秘,禁止高压灌肠。
③避免癫痫发作,癫痫发作时进行降颅压处理。

阅读理解

阅读理解。

    Each morning a rich man found a poor man sitting on a park bench (长凳). The poor man

always sat there, looking at the big hotel in which the rich man lived. One day the rich man got

out of his car and said to the poor man, "Excuse me, but I just want to know why you sit here

and look at my hotel every morning." "Sir," said the poor man, "I am a failure. I have no money,

no home. I sleep on this bench, and every night I dream (梦想) that one day I'll sleep in that hotel."

The rich man said, "Tonight your dream will come true. I'll pay for the best room in that hotel for

you a whole month."

    A few days later, the rich man went by the poor man's room to ask him how he was enjoying

himself. To his surprise, he found that the man had moved out of the hotel, back to his park bench.

When the rich man asked why, the poor man said, "You see, when I'm down here sleeping on my

bench, I dream I'm up there, in that big hotel. It's a wonderful dream. But when I was up there, I

dreamed I was back to this cold bench. It was a terrible dream, and I couldn't get any sleep at all."

1. The poor man lived in _____ before he met the rich man. [ ]

A. the hotel

B. his home

C. the park

D. the car

2. Every morning, the poor man sat on the bench and _____.

[ ]

A. waited for the rich man

B. looked at the rich man's hotel

C. looked at the rich man's cat

D. enjoyed the clean air

3. Every night the poor man dreamed of _____.[ ]

A. sleeping in that hotel

B. becoming rich

C. owning that hotel

D. being the rich man's friend

4. The poor man moved out of the hotel because _____. [ ]

A. he didn't want to live in such a fine room

B. he didn't like the rich man

C. he couldn't pay for the room

D. he couldn't get any sleep at all there

5. In the end, the poor man found it _____ to sleep in the hotel. [ ]

A. sorry

B. nice

C. wonderful

D. terrible

填空题