一新生儿出生时窒息，1分钟Apgar评分为2分，无呼吸，皮肤苍白，心率80次/分，四肢活动少，张力低下，此时最首要的处理措施是
A．拍打足底或臀部引起啼哭
B．皮下注射呼吸兴奋剂
C．心腔注射三联针
D．气管插管，吸出上气道黏液
E．建立静脉通道
参考答案：D
解析：根据患儿1分钟Apgar评分为 2分，无呼吸，皮肤苍白，心率80次/分，四肢活动少，张力低下，考虑重度窒息，首要的处理是通畅呼吸道，建立呼吸，通过气管插管建立呼吸是抢救新生儿窒息最有效措施之一。故选D。
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| My dad has been driving a truck for almost his entire life. He's usually 1 all the weekdays and comes home only at weekends. Sometimes he stays 2 for two weeks at a time. 3 I don't get to see him as often as I wish, we remain very 4 . My dad is the type of person who doesn't let you 5 up anything that you start. When I was eleven, my father bought me a piano. At first I was so 6 about it that I would spend hours and hours learning how to play. Then it got 7 .I was so tired of it that I asked if I could stop. Much as I tried, he 8 me to go on. Now I have been playing for almost five years. I love it and I'm glad I 9 my dad's advice. My dad is 10 talented,for he has been playing the guitar for over 20 years. Under his influence, I also like 11 now. Sometimes my dad can be my biggest 12 . He makes me smile even when I lose in a talent show 13 sometimes he can be my biggest critic (批评家). He 14 ignore the small mistakes I make. He encourages me never to lose 15 because he thinks that all my efforts will 16 one day. My dad is generous. Every Thursday night, he 17 to read to the children at a children's club. When he reads, their 19 light up with curiosity about what will happen next. I feel 18 of having a person in my family who cares enough to volunteer to 20 . I love dad with all my heart. He's a hero in my heart and the most wonderful person in the world. | |||
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