问题 问答题

女性,53岁。反复呕血3年,曾经给予三腔二囊管压迫止血。1天前进食油炸食物后突然呕血800ml。病人精神紧张。体检:贫血貌,T36.8℃,P96次/分,BP82/60mmHg。纤维胃镜检查:食管曲张静脉出血。入院后给予分流术。
问:(1)食管胃底下段曲张静脉出血有哪些特点
(2)对该病人的护理措施有哪些

答案

参考答案:(1)食管胃底下段曲张静脉出血的特点:
①出血速度快,出血量大。食管胃底下段曲张静脉出血是门静脉高压症病人常见的危及生命的并发症,一次出血量可达1000~2000ml。
②发生出血后难以自止。
③因肝组织严重缺血缺氧,可引起肝功能衰竭。
④常反复发生出血。
(2)护理措施:
①减轻恐惧,稳定情绪,保持安静,按医嘱给予镇静剂。
②控制出血,维持体液平衡,做好三腔管的护理。
③保护肝功能,预防肝性脑病,纠正休克、吸氧,应用保肝药物,清除肠道内积血。
④控制或减少腹水的形成:注意休息和营养;限制液体和钠的摄入;定期测量腹围和体重;按医嘱使用利尿剂。
⑤提供预防上消化道出血的知识。

阅读理解

On May 2, 2012, Ashok Gadgil became the winner of the $100,000 Lemelson-MIT Award for Global Innovation (全球创新奖). Each year, the honor is given to an inventor who has made a big difference in the lives of people in developing countries. Gadgil is a professor and physicist at the University of California, Berkeley. He spent thirty years helping people in need. His inventions have helped more than 100 million people around the world. “I chose to focus on problems where my knowledge of science  could help,” Gadgil said.

In the 1990s, Gadgil designed his first life-saving invention after more than 10,000 people died from Bengal cholera (孟加拉霍乱) because of the clean water crisis (危机) in India. His invention uses ultraviolet light to kill deadly disease-carrying germs (细菌) from drinking water. It costs just one cent to clean five liters of water (about 21 cups). So far, the invention has provided safe drinking water for more than five million people in India and other developing countries.

Gadgil’s another important invention is the Berkeley-Darfur Stove (炉具). The long and violent war in Darfur, Sudan, has caused many people to move to foreign countries and live in refugee camps (难民营). They are given food aid. But people still have to travel a long distance five times a week to gather firewood to cook meals. This can be dangerous because of street violence in the area. To avoid danger, some spend much of their money used to feed their families buying firewood.

The stove Gadgil created cuts fuel usage by 55%. That means people wouldn’t have to leave the camps to find firewood as often. The invention also helps to save homes more than $300 a year. About 125,000 people and their families have been helped.

As a professor, Gadgil encourages his students, “Be optimistic (乐观的) when you try a hard problem,” he says. “It’s when you solve a large problem that you can have a big influence on the world.”

小题1: Ashok Gadgil was given the honor because _______.

A.he was a famous professor and physicist at UC, Berkeley

B.he improved the lives of people in developing countries

C.he spent thirty years helping people in need

D.he developed useful inventions with his team小题2:Which of the following statements about Gadgil is TRUE?

A.He helped about 125,000 people in India.

B.He spent lots of money on his inventions.

C.He used his knowledge to help people in need.

D.One of his inventions could cure Bengal cholera.小题3:What do people benefit from the Berkeley-Darfur Stove?

A.They can sell stoves to make a living.

B.They can save both time and money.

C.They can be protected from diseases.

D.They can cook their food easily.

单项选择题