问题
单项选择题
男,51岁。重症肺炎患者,入院后次日病情加重,突发持续性呼吸急促,发绀,伴烦躁,呼吸频率38次/分,心率。108次/分,律齐,两肺可闻及湿啰音。血气分析:pH7.34,PaO250mmHg,PaCO230mmHg。胸片示两中下肺纹理增多模糊,斑片状阴影.心胸比例正常。
最可能的诊断是
A.肺梗死
B.急性左心衰竭
C.自发性气胸
D.成人呼吸窘迫综合征(ARDS)
答案
参考答案:D
男,51岁。重症肺炎患者,入院后次日病情加重,突发持续性呼吸急促,发绀,伴烦躁,呼吸频率38次/分,心率。108次/分,律齐,两肺可闻及湿啰音。血气分析:pH7.34,PaO250mmHg,PaCO230mmHg。胸片示两中下肺纹理增多模糊,斑片状阴影.心胸比例正常。
最可能的诊断是
A.肺梗死
B.急性左心衰竭
C.自发性气胸
D.成人呼吸窘迫综合征(ARDS)
参考答案:D
阅读下面短文, 从短文后各题的四个选项( A、 B、 C,D)中, 选出可以填入空白处的最佳选项 The world always makes way for the dreamer. When I was twelve years old, my father took me to see Zig Zigler. I remember sitting in that dark hall listening to Mr. Zigler 36 everyone’s spirits up to the ceiling, I 37 there feeling like I could do anything. When we got to the car, I turned to my father and said, “Dad, I want to 38 people feel like that.” My father asked me 39 I meant. “I want to be a motivational (激励人的)speaker just like Mr. Zigler,” I replied.A 40 was born. Recently, I began seeking my dream of motivating others. 41 a four-year relationship with Fortune 100 Company 42 as a sales-trainer and ending as a regional sales manager, I left the company at the height of my 43 . Many people were 44 that I would leave after earning a six-figure income. And they asked 45 I would risk everything for a dream. I made my 46 to start my own company and leave my secure position after 47 a regional sales meeting. The vice-president of our company delivered a 48 that changed my life. He asked us, “If a god would offer you three wishes, what would they be?” After giving us a 49 to write down the three wishes, he then asked us, “Why do you need a 50 ?” I would never forget the power I felt at that moment. I realized that 51 I had accomplished in the past had prepared me for this moment. I was ready and didn’t need a god’s help to become a motivational speaker. A motivational speaker was 52 . Having made that decision, I was immediately 53 . One week after I gave notice, my husband was laid off from his job, and now we had no 54 . But I held fast to my dream. The wonder really began to happen. In a short time my husband found a better job.And I was able to book several 55 engagements with new customers. I discovered the incredible power of dreams.
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