问题 单项选择题 A1型题

开放性气胸患者呼吸困难最主要的急救措施是()

A.输血补液

B.吸氧

C.气管插管行辅助呼吸

D.迅速封闭胸部伤口

E.应用激素

答案

参考答案:D

解析:开放性气胸时由于健侧胸腔压力仍可随呼吸周期而增减,从而引起纵隔摆动(或扑动)和残气对流(或摆动气),导致严重的通气、换气功能障碍。同时纵隔摆动引起心脏大血管来回扭曲以及胸腔负压受损,使静脉血回流受阻,心排出量减少。所以应迅速封闭胸部伤口,改开放性气胸为封闭性气胸,再行胸腔闭式引流。

选择题
阅读理解

Jim was a farmer. He lived in a village far away from the town. One day he was  very ill , and everyone thought he would die . But his family wouldn’t give up. They decided to sent for a doctor in town . The doctor arrived the village two days later and looked over the man. The doctor wanted a pen and some paper , But there was no pen or paper in the village , because nobody could read or write .

The doctor looked around and picked up a piece of burnt wood. Using the wood, he wrote the name of the medicine on the door of the house.“ Get the medicine for him right away, ” he said, “and he will soon get well.’ family and friends did not know what to do . They could not read the writing . Then the village baker had an idea . He took off the door of the house and took the door to the nearest town . He bought the medicine, and Jim was saved. After that Jim would not let anyone wash the magic words off the door .

小题1:People in the village thought James would die because ________ .

A.he was seriously ill

B.the doctor could do nothing for him

C.the doctor didn’t come

D.they couldn’t find any doctor小题2: The doctor got to the village two days later because ________ .

A.he walked to the village  

B.the will age was far from the town

C.there was something wrong with his car

D.they couldn’t find any doctor小题3:When the doctor got to the village, he______.

A.found another doctor there

B.gave some medicine to Jim

C.looked over Jim carefully

D.had no idea and could do nothing for Jim小题4: The doctor wrote down the name of the medicine with_____ on_____.

A.a pen; a piece of paper

B.a piece of burnt wood; some paper

C.a piece of burnt wood; the door of the house

D.a pen; a piece of wood小题5: What do you think of the people in the village?

A.They were rich and clever.

B.They were lazy.

C.They could read and write well.

D.They were poor and fell behind the times.