问题 多项选择题 案例分析题

男性,36岁。车祸后骨盆粉碎性骨折,行骨盆重建术后2d,今晨出现进行性加重的呼吸困难,呈憋气样呼吸,发绀,烦躁不安,大汗,给予吸氧5L/分钟呼吸窘迫无缓解。查体:精神烦躁、口唇发绀,呼吸浅快42/分钟,双肺呼吸音稍粗,右下肺可闻及少许湿啰音,心率115/分钟,律齐,无杂音。

在吸氧50%的条件下,患者的血气分析结果:PaO262mmHg,PaCO232mmHg,pH7.44,X线胸片可见双肺肺纹理增粗、紊乱,双下肺斑片状渗出模糊影,此时,对患者应采取哪些治疗措施()

A.氧疗

B.机械通气、PEEP≥10cmH2O

C.机械通气、PEEP≤6cmH2O

D.机械通气、PEEP=0cmH2O

E.机械通气、潮气量10~15ml/(kg·分钟)

F.机械通气、潮气量5~8ml/(kg·分钟)

G.合理限制液体入量

答案

参考答案:A, B, F

阅读理解

Scientists at Royal Holloway, University of London  and Queen Mary, University of London have discovered that bees learn to fly the shortest possible route between flowers even if they discover the flowers in a different order. Bees are effectively solving the “traveling salesman problem”, and they are the first creatures found to do this.

The traveling salesman must find the shortest route that allows him to visit all locations on his route. Computers solve it by comparing the length of all possible routes and choosing the shortest, and it can keep computers busy for days. However, bees solve it without computer assistance using a brain the size of grass seed. Dr. Nigel Raine, from the School of Biological Sciences at Royal Holloway explains, “Bees solve traveling salesman problems every day. They visit flowers at multiple locations and because bees use lots of energy to fly, they find a route which keeps flying to a minimum. ”

The team used the computer to control artificial flowers to test whether bees would follow a route defined by the order in which they discovered the flowers or if they would find the shortest route. After exploring the location of the flowers, bees quickly learned to fly the shortest route.

As well as improving our understanding of how bees move around the landscape pollinating(授粉)crops and wild flowers, this research, which is due to be published in The American Naturalist, has other applications. Our lifestyle relies on networks such as traffic on the roads, information flow on the Web and business supply chains. By understanding how bees can solve their problems with such a tiny brain, we can improve our management of these everyday networks without needing lots of computer time. Dr. Raine adds, “Despite their tiny brains, bees are capable of extraordinary feats of behavior. We need to understand how they can solve the traveling salesman problem without a computer. ”

小题1: What would be the best title of the passage?

A.Bees help salesmen travel

B.Tiny-brained bees solve a complex mathematical problem

C.How bees discover the flowers

D.How to solve the “traveling salesman problem”小题2:We may infer from the second paragraph that the “traveling salesman problem”    .

A.can be solved by a computer easily

B.can’t even be solved by a computer

C.can puzzle both people and computers

D.remains to be solved by scientists小题3: The main purpose of the last paragraph is to   .

A.provide further proof for the research

B.tell us how bees can fly the shortest route between flowers

C.tell us how the research about bees’ flying route was conducted

D.explain the importance of the research小题4: It can be concluded from the passage that   .

A.all creatures are smarter than computers

B.the research about bees’ flying route can be applied to many fields

C.our networks are more complex than bees’ ones

D.with the help of the computer we can find out how bees can solve the “traveling salesman problem”

单项选择题