问题 单项选择题 A2型题

男性,29岁,车祸后10分钟,查体:血压98/56mmHg,脉搏126/分钟。神志蒙陇,烦躁明显,吸气性呼吸困难,可见咯血,口鼻可见异物、血块。右侧胸腹部可见擦伤痕,局部流血,右大腿中上段肿胀畸形。目前患者首要处理为()

A.镇静处理

B.输液、输血

C.清除上呼吸道异物,保持呼吸道通畅

D.右下肢外固定

E.吸氧

答案

参考答案:C

解析:患者目前明确上呼吸道梗阻,存在窒息可能,应首先清除上呼吸道异物,保持呼吸道通畅。故答案C。

阅读理解

There is an endless supply of stories about sleepwalkers(梦游者). People have been said to climb on roofs, solve mathematical problems, write music, walk through windows, and do murder in their sleep.

In Revere, Masachusctts, a hundred policemen scarched for a lost boy who left his home in his sleep and woke up five hours later on a strange sofa in a strange living room, with no idea how he had got there.

At the University of Lowa, a student was reported to have the habit of getting up in the middle of the night and walking three—quarters of a mile to the lowa River. He would take a swim and then go back to his room to bed.

An American expert on sleep claims(声称) that he has never seen a sleepwalker. He is said to know more about sleep than any other living man, and during the last thirty—five years he has lost a lot of sleep watching people sleep. He says, “Of course, I know that there are sleepwalkers because I have read about them in the newspapers. But none of my sleepers ever walked, and if I were to advertise for sleepwalkers for an experiment, I doubt whether I would get many takers(应征者).”

Sleepwalking, however, is a scientific reality. It is one of those strange things that sometimes looks quite fantastic(奇特的). Doctors say that sleepwalking is much more common than is generally supposed. Many sleepwalkers do not try to find help and their sleepwalking is never recorded.

52. Generally speaking, sleepwalkers are people who __________.

A. climb on roofs                        B. walk through windows

C. do fantastic things during their sleep      D. walk in a half—awake state

53. It was reported that a boy ________.

A. was found on a strange sofa, telling how he had got there

B. slept in his own room but woke up in a strange room

C. lost his way five hours after he left home  

D. was searched for by policemen when he lost his way

54. There was a college student who got into the habit of ___________.

A. getting up in the middle of the night and walking down to the river

B. walking three—quarters of a mile every day

C. swimming in the lowa River before going to bed       

D. walking about before he went to bed

55. Why do people think sleepwalking is nothing but a fantastic thing which doesn’t have any explanation?

A. It is so common that it needn’t be recorded.     

B. Scientists take no interest in it.

C. Most sleepwalkers do not seek help for their problem. 

D. No records about it have been made.  

单项选择题