问题 单项选择题 案例分析题

患者,68岁,患慢性支气管炎、阻塞性肺气肿,查体:烦躁不安,口唇紫绀,球结膜水肿,心率120次/分,律不齐,肝肋下3cm,双下肢浮肿,尿蛋白(+);ECG示:电轴右偏,Rv1+Sv5为1.4mV。

此时应首先采取的措施是()

A.安定静注

B.静滴可拉明和山梗菜碱

C.西地兰静注

D.吸氧(浓度为28%)并静滴氨茶碱

E.静滴糖皮质激素

答案

参考答案:B

单项选择题
单项选择题

Supporters of abortion rights held a lunch recently in honor of a momentous victory for their cause: 40 years ago, New York became the first state to fully legalize abortion. That 1970 law began to reduce the death and injury toll from back-alley abortions and set the stage for the Supreme Court’s Roe v. Wade decision in 1973, which made abortion legal nationwide and recognized a constitutional right to privacy.
But abortion-rights groups are newly anxious about new assaults on women’s reproductive rights, including a fight over abortion that snarled the last days of the health care reform debate. Anti-abortion groups are newly emboldened. Kelli Conlin, head of Naral Pro-Choice New York, told guests at the lunch that "anti-choice forces are mobilizing in every single state to limit a woman’s access to abortion in more insidious ways than we can imagine. "
As Ms. Conlin was speaking, members of the Oklahoma House were getting ready to override vetoes of two punishing abortion measures. The state’s Democratic governor, Brad Henry, rightly viewed these intrusions into women’s lives and decision-making as unconstitutional. One of the measures, which seems destined to spawn copycat bills in other states, requires women to undergo an ultrasound before getting an abortion and further mandates that a doctor or technician set up the monitor so the woman can see it and hear a detailed description of the fetus. The other law grants protection from lawsuits to doctors who deliberately withhold fetal testing results that might affect a woman’s decision about whether to carry her pregnancy to term.
Several states have either passed or are considering bills that would ban abortion coverage in insurance plans sold through the state exchanges established by the federal health care law. A new Utah law criminalizes certain behavior by women that results in miscarriage. Embarking on a road that could lead to the Supreme Court, Nebraska last month banned most abortions at the 20th week of pregnancy based on a questionable theory of fetal pain. About two dozen states are looking at bills to increase counseling requirements or waiting periods prior to abortions. About 20 states are considering new ultrasound requirements. "One in three women in this country will have an abortion in her lifetime, and yet we’re having exactly the same discussions and debates we were having forty years ago," Ms. Conlin said.
Anti-abortion forces aim ultimately to make abortion illegal. So far, by reducing the number of abortion providers, making insurance coverage more expensive and harder to get, and throwing up other obstacles, they have primarily succeeded in making it harder for women of modest and meager means to obtain a safe and legal medical procedure.
The painful decision to end a pregnancy should be made in private between a woman and her doctor—not in politically driven debate among members of Congress and state legislatures.

According to the author, the anti-abortion forces have done nothing but

A.spreading peril for women’s privacy and freedom.

B.increasing insurance coverage for pregnant women.

C.obtaining safe and legal medical procedure for women.

D.ending pregnant women’s pain in decision making.