问题 多项选择题 案例分析题

患儿女,5岁,因“咳嗽2d,喘促1d”急诊来院。既往有过数次类似发作,均住院“输液”缓解。对青霉素过敏。查体:T36.5℃,P112次/min,R42次/min;强迫坐位,痛苦面容,意识清楚,口唇发绀;胸廓略呈桶状,呼气性呼吸困难,双肺叩诊过清音,肝上界位于第6肋间,双肺满布哮鸣音。

目前考虑的诊断是(提示血常规:WBC8.9×10/L,N0.61,L0.32,嗜酸粒细胞0.04。血气分析:pH7.08,PaCO80mmHg,PaO37mmHg,HCO26mmol/L,BE+2mmol/L,SaO86%。胸部X线片:双肺纹理增粗,双肺透明度增高,膈位低,膈顶平直。)()

A.支气管哮喘危重状态

B.急性Ⅰ型呼吸衰竭

C.急性Ⅱ型呼吸衰竭

D.急性呼吸窘迫综合征

E.支气管异物

F.急性支气管肺炎

G.哮喘性支气管炎

答案

参考答案:A, C

完形填空
It was the district sports meet. My foot still hadn’t healed(痊愈)from a(n)  injury. I had  whether or not I should attend the meet. But there I was,   for the 3, 000-meter run.
“Ready. . . set. . . ”The gun popped and we were off. The other girls rushed  me. I felt  as I fell farther and farther behind.
“Hooray! ”shouted the crowd. It was the loudest  I had ever heard at a meet. The first-place runner was two laps(圈)ahead of me when she crossed the finish line. “Maybe I should  , ”I thought as I moved on.   , I decided to keep going. During the last two laps, I ran  and decided not to  in track next year. It wouldn’t be  it, even if my foot did heal.
When I finished, I heard a cheer—  than the one I’d heard earlier. I turned around and  enough, the boys were preparing for their race. “They must be cheering for the boys. ”I was leaving  several girls came up to me. “Wow, you’ve got courage! ”one of them told me.
“Courage? I just  a race! ”I thought. “I would have given up on the first lap, ”said another girl. “We were cheering for you. Did you hear us? ”
Suddenly I regained  . I decided to  track next year. I realized strength and courage aren’t always  in medals and victories, but in the  we overcome(战胜). The strongest people are not always the people who win,   the people who don’t give up when they lose.
小题1:
A.slighter  B.worse  C.earlier  D.heavier
小题2:
A.expectedB.supposed
C.imagined D.doubted
小题3:
A.lateB.eagerC.readyD.thirsty
小题4:
A.from behind B.ahead of
C.next toD.close to
小题5:
A.ashamed B.astonished
C.excitedD.frightened
小题6:
A.cheerB.shoutC.cryD.noise
小题7:
A.slow downB.drop out
C.go onD.speed up
小题8:
A.ThereforeB.Otherwise
C.BesidesD.However
小题9:
A.with delightB.with fear
C.in painD.in advance
小题10:
A.playB.arriveC.race D.attend
小题11:
A.worth B.good C.valuable D.close
小题12:
A.weakerB.longerC.lowerD.louder
小题13:
A.wellB.sure
C.surprisinglyD.strangely
小题14:
A.while B.when C.asD.since
小题15:
A.finishedB.wonC.passedD.lost
小题16:
A.cheerB.hope C.interest D.experience
小题17:
A.hold onB.turn to
C.begin withD.stick with
小题18:
A.measuredB.praised
C.testedD.increased
小题19:
A.sadnessB.struggles
C.diseases D.tiredness
小题20:
A.or B.norC.andD.but
选择题