患者，男，52岁，突发心悸、头晕，查体：BP70/45mmHg，心电图示_爱下问搜题

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问题单项选择题

患者，男，52岁，突发心悸、头晕，查体：BP70/45mmHg，心电图示宽QRS波心动过速，心律稍不规则，间断可见呈窄QRS波。首选的治疗是（）。

A.静脉注射利多卡因

B.静脉注射普鲁卡因酰胺

C.直流电复律

D.静脉注射普罗帕酮

E.静脉注射胺碘酮

答案

参考答案：C

解析：室性心动过速能导致血流动力学紊乱，必须得到及时纠正，绝大多数应入院治疗。药物治疗首选利多卡因，50～100mg稀释后缓慢静推，无效时可重复使用，起效后以1～4mg/min静滴维持，也可选用普罗帕酮75mg或胺碘酮150mg稀释后缓慢静推，并静脉点滴维持。存在明显血流动力学障碍时首选同步直流电复律，复律能量以300J为佳。同时应积极治疗基础心脏病和补充血钾。该患者BP70/45mmHg，故选C。

完形填空

“I’m really thankful to our government, for it provides us with such a good training program. The training greatly helps us live well. I will certainly study hard and learn the skills. Then I can (1) my family difficulties and do good to other people.” a learner on the job training program said, feeling (2).
The learner’s grandfather is nearly 80 years old, and has mother is (3) in bed. So his father, who is a farmer, is the main (4) of the family. The family is poor. The learner graduated from high school and did not (5) the college entrance exam. The job training program helps him learn the skills that he’ll (6) in the work place.
The story reminds me of another (7). It goes like this: Once upon a time, there was a man who liked fishing very much, and was (8) to catch lots of fish every day. The man was a kind-hearted person, so he always (9) his fish with his neighbors who did not know how to fish. One day, he thought that it would be (10) if he taught them how to fish. So he (11) his neighbors together and showed them how to fish. Everybody was very happy that they could (12) the fish they themselves caught.
At present, there are still a lot of poor people throughout the world. But it’s not good if we give only (13) to them. (14), we should give them a chance to learn new skills. Therefore, a technical training is very important to people in need, and the will learn the ability to (15) money. People can learn a lot of useful things in the training program and what they learn can help them on the way to find jobs.

单项选择题

重症胰腺炎手术治疗，下列哪项不正确（）。

A.胰腺坏死组织清除

B.清除胰周及腹膜后脓液

C.清除腹膜后坏死组织

D.彻底冲洗、放置多管充分引流

E.行全胰或胰头切除术