男性，49岁。车祸致头外伤，昏迷2小时，醒后对伤情记忆不清，呕吐3次。查体：嗜睡，颜面部肿胀明显，鼻腔有血性脑脊液流出。神经系统检查阴性。提示：头颅CT检查：双侧额极脑挫裂伤伴脑内血肿，量约25ml，双侧侧脑室额角轻度受压。
合理的治疗方案是（）
A.开颅血肿清除加去骨瓣减压术
B.脱水疗法
C.绝对卧床休息
D.腰穿放液减压
E.动态CT观察
参考答案：B, C, E, F
解析：患者意识呈嗜睡，鼻腔有血性脑脊液流出，头颅CT提示双侧额极脑挫裂伤伴脑内血肿，量约25ml，双侧侧脑室额角轻度受压，诊断考虑中型开放性颅脑损伤、双额叶血肿、颅底骨折，暂无手术指征。患者颅压较高，行腰穿检查可能加重病情。目前合适的处理是抗感染治疗、卧床休息、动态CT观察及脱水降颅压等疗法。
阅读下面短文, 掌握其大意, 然后从1-10各题所给的四个选项（A、B、C和D）中, 选出最佳选项, 并在答题卡上将该项涂黑。 If you have been dreaming of becoming an astronaut after you grow up, get start now! An astronaut needs a strong body and mind. Shenzhou VI astronauts are able to live upside-down. They do this not just during sleep, but also when eating and going to the toilet. Before they 1 the space, they had lots of practice. Each upside-down training time lasted 20 days. Chinese astronauts aren’t just spaceship 2 but also machine repairers and scientists. They have to know every part of the spaceship and how it works. 3 something goes wrong, they’ve got to know 4 repair it. Also they do scientific experiments in space. Shenzhou VI astronauts know how to live in 5 . They took a knife, a gun and some dye with them into space. If they land in forests, the knife and gun can 6 them from wild animals. If they 7 the sea, the dye can color the seawater around them yellow. This can drive 8 sea animals away. Astronauts must have strong 9 . They can’t get a headache and be sick. With many things to 10 , they’ve got no time for sickness. Do you still have a long, long way to go?
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