问题 单项选择题 A3/A4型题

患者,女性,37岁。因妊娠35+周,胎膜早破th入院。既往体健。曾早孕人工流产1次。住院后常规催产素引产,7h后自然分娩,但产后 * * 持续出血约2500ml,血压70/40mmHg,血小板99×109/L,PT15.6秒、APTT59秒、纤维蛋白原8.8g/L,3P试验阳性。诊断:产后大出血、失血性休克、DIC。给予止血、抗休克、抗DIC等治疗,患者共输注红细胞12U、血浆2200ml,6h后病情平稳。次日复查Hb64g/L,又输红细胞4U,输血后5小时,患者突然感胸闷憋气、不能平卧、咳嗽、咯非泡沫样血性痰。血压下降、呼吸30次/分,心率100次/分、律齐无杂音,双肺闻及细湿啰音、无颈静脉怒张。医生给予强心利尿治疗无效。

那么这位患者可能的诊断是()。

A.急性左心衰

B.肺血管微栓塞

C.过敏反应

D.输血相关性急性肺损伤

E.急性溶血反应

答案

参考答案:D

选择题
阅读理解

“The first and best of victories is for a man to conquer himself; to be conquered by himself is, of all things, the most shameful,” says Plato. Self­control is at the root of all the advantages. Let a man give in to his impulses (冲动) and feelings, and from that moment he gives up his moral (道德上的) freedom.

A single angry word has lost many a friend. When Socrates found in himself any temper or anger, he would check it by speaking low in order to control himself. If you are conscious of being angry, keep your mouth shut so that you can hold back rising anger. Many a person has dropped dead in great anger. Fits of anger bring fits of disease. “Whom the gods would destroy they firstmake mad” “Keep cool”, says George Herbert, “for fierceness (狂怒) makes error a fault.”

To be angry with a weak man is to prove that you are not strong yourself. “Anger,” says Pythagoras, “brings with folly(愚蠢) and ends with regret.” You must measure the strength of a man by the power of the feelings he conquers, not by the power of those which conquer him.

Self­control is man's last greatest victory.

If a man lacks self­control he seems to lack everything. Without it he can have no patience, no power to govern himself; he can have no self­confidence, for he will always be controlled by his strongest feeling. If he lacks self­control, the very backbone and nerve of character are lacking also.

小题1:What does the reader learn from the first paragraph?

A.The greatest victory for a man is to conquer everything except himself.

B.One's moral freedom is based on the control of himself.

C.To control oneself is the most difficult in one's life.

D.If a person is too stubborn, he will feel most shameful.小题2:What is the correct interpretation of “Whom the gods would destroy they first make mad”?

A.If the gods want to kill you, they make you crazy first.

B.If you cannot control yourself, you will become crazy.

C.If you always lose your temper, you will soon be finished.

D.If you are mad, you will be punished by the gods.小题3:If a man lacks self­control, he lacks all of the following EXCEPT ________.

A.the very backbone and nerve of character

B.the patience and power to control himself

C.self­confidence

D.strong feelings