问题 单项选择题

30岁男性,30分钟前被刀刺右前胸部,咳血痰,呼吸困难。体检:血压107/78mmHg,脉搏96次/分,右前胸有轻度皮下气肿,右锁骨中线4肋间可见3cm长创口,随呼吸有气体进出伤口响声。

该患者半小时后收入病房,病人呼吸困难,轻度紫绀,右胸部皮下气肿明显加重,X线胸片示右肺完全萎陷,纵隔向左侧偏移,右侧平膈肌水平可见液平面。正规处理是

A.立即输血

B.准备行手术探查

C.伤口清创并行胸腔闭式引流

D.用注射器穿刺排气

E.继续观察

答案

参考答案:C

解析:患者出同液气胸,应行胸腔闭式引流并清创伤口。术后应用抗生素,预防感染;鼓励病人咳嗽排痰和早期活动。与本题相关的考点还有闭式胸膜腔引流术的适应症:①气胸血胸或脓胸需要持续排气、排血或排脓者;②切开胸膜腔者。此外引流插管位第6~8腋肋间也是重要考点。

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When I had something difficult to do, I used to ask my mother for help. But she always said, “Do it  yourself, dear.” I was not         at all. I thought she was the               mother in the world!

For example, one day, I decided to      some friends to my home. My bedroom was not in order. Books were everywhere. And I didn’t make the bed. I asked my       to help me clean it,       she still said, “Do it yourself, girl.”

Because of my “lazy mother”, I have to         my clothes and clean my room. I have to help my parents         I even have to go to the dentist by myself. It is really hard  for me to do everything well, but I have learned      .

As time goes by, I understand my mother. She makes me clever and diligent (勤奋的)          a great mother!

A        mother is worth(等值于) one hundred teachers! Don’t you think so?

小题1:A. old                 B. glad             C. thin

小题2:A. tallest             B. most foolish     C. laziest

小题3:A. leave               B. invite               C. visit

小题4:A. mother              B. father               C. brother

小题5:A. or                  B. when             C. but

小题6:A. wash                B. lead             C. knock

小题7:A. do housework        B. go swimming      C. go camping

小题8:A. on show            B. by mistake           C. a lot

小题9:A. Which               B. What             C. Who

小题10:A. young              B. good             C. happy

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