问题 单项选择题

女性,30岁。喘息、呼吸困难发作1天,过去有类似发作史。体检:气促、发绀,双肺满布哮鸣音,心率130次/分,律齐,无杂音。院外已用过氨茶碱、特布他林无效。对该病人除立即吸氧外,应首先给予的治疗措施为()

A.联合应用氨茶碱、特布他林静脉滴注

B.联合应用抗生素静脉滴注

C.琥珀酸氢化可的松静脉滴注

D.二丙酸倍氯米松气雾吸入

E.5%碳酸氢钠静脉滴注

答案

参考答案:C

解析:年轻女性,反复发作呼吸困难,体检气促、发绀、双肺哮鸣音,诊断应考虑支气管哮喘急性发作,由于患者发绀、心率130次/分,而且已用氨茶碱、特布他林无效,故选择静脉应用糖皮质激素为宜。

单项选择题
单项选择题

When Dave was eighteen, he bought a secondhand car for 200 so that he could travel to and from work more (1) than by bus. It worked quite well for a few years, but then it got so old, and it was costing him (2) much in repairs that he decided that he had better (3) it.

He asked among his friends to see if anyone was particularly (4) to buy a cheap car, but they all knew that it was falling to pieces, so (5) of them had any desire to buy it. Dave’s friend Sam saw that he was (6) when they met one evening, and said, "What’s (7) , Dave"

Dave told him, and Sam answered, "Well, what about advertising it in the paper You may (8) more for it that way than the cost of the advertisement!" Thinking that Sam’s (9) was sensible, he put an advertisement in an evening paper, which read "For sale: small car, (10) very little petrol, only two owners. Bargain at 50. " For two days after the advertisement first appeared, there was no (11) . But then on Saturday evening he had an enquiry. A man rang up and said he would like to (12) him about the car. "All right, " Dave said, feeling happy. He asked the man whether ten o’clock the next morning would be (13) or not. "Fine, " the man said, "and I’ll (14) my wife. We intend to go for a ride in it to (15) it. "

The next morning, at a quarter to ten, Dave parked the car in the square outside his front door, (16) to wait there for the people who had (17) his advertisement. Even Dave had to (18) that the car really looked like a wreck. Then, soon after he had got the car as clean (19) it could be, a police car stopped just behind him and a policeman got out. He looked at Dave’s car and then said, "Have you reported this (20) to us yet, sir\

9().

A.message 

B.advice 

C.request 

D.description