问题 多项选择题 案例分析题

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

答案

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。

完形填空

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?
小题1:
A.went throughB.flew intoC.stayed atD.lived at
小题2:
A.teachersB.coachesC.inventorsD.drivers
小题3:
A.IfB.UnlessC.SoD.While
小题4:
A.what toB.why toC.how toD.when to
小题5:
A.the worldB.the wildC.troubleD.space
小题6:
A.preventB.protestC.predictD.protect
小题7:
A.fall intoB.jump intoC.fly overD.fly across
小题8:
A.harmlessB.livelyC.dangerousD.selfish
小题9:
A.bodiesB.mindsC.healthyD.encouragement
小题10:
A.bringB.take careC.tendD.look forward to
单项选择题