问题 多项选择题 共用题干题

患者男,23岁,因“上腹部不适,黑粪3天,呕血1天”来诊。既往史无特殊。查体:体温36.5℃,脉搏130次/分,血压115/60mmHg(1mmHg=0.133kPa),呼吸20次/分,皮肤巩膜苍白。实验室检查:血红蛋白48g/L,给予输血。30分钟后出现进行性呼吸困难,脉搏150次/分,血压90/45mmHg,呼吸40次/分,面罩吸氧10L/min,经皮脉搏血氧饱和度85%。双肺呼吸音粗,可闻及大量湿啰音,咳粉红色泡沫痰。急查血气分析:pH7.380,氧分压46mmHg,二氧化碳分压36mmHg,碱剩余-2mmol/L,动脉血氧饱和度(SaO2)73%。

首先给予的处理包括(提示胸部X线片:双肺浸润影,气管水肿液蛋白与血中蛋白比例为0.9。超声心动图及肺动脉导管检查排除心源性肺水肿。血红蛋白60g/L,中心静脉压5mmHg。)()。

A.气管插管

B.加快输血速度

C.停止输血

D.适度补液扩容

E.静脉滴注洗涤红细胞悬液

F.积极止血,严密监测血红蛋白变化

答案

参考答案:A, C, D, E, F

阅读理解

阅读理解。

     When I asked my daughter which item she would keep: the phone, the car, the cooker, the computer,

the TV or her boyfriend, she said "the phone". Personally, I could do without the phone entirely, which

makes me unusual, because the telephone is changing our lives more than any other piece of technology.

      Point l. The telephone creates the need to communicate, in the same way that more roads create more

traffic. My daughter comes home from school at 4:00 pm and then spends an hour on the phone talking to

the very people she has been at school with all day. If the phone did not exist (存在), would she have

anything to talk about?   

      Point 2. The mobile phone means that we are never alone. "The mobile saved my life," says Crystal

Johnstone. She had an accident in her Volvo on the A45 between Otley and Skipton. Trapped inside, she

managed to make the call that brought the ambulance (救护车) to her rescue.

      Point 3. The mobile removes our secrets. It allows marketing manager of Haba Deutsch, Carl Nicolaisen,

to ring his sales staff all round the world at any time of day to ask where they are, where they are going,

and how their last meeting went.

     Point 4. The telephone separates us. Antonella Bramante in Rome says, "We worked in separate offices

but I could see him through the window. It was easy to get his number. We were so near, but we didn't meet

for the first two weeks!"

     Point 5. The telephone allows us to reach out beyond our own lives. Today we can talk to several complete

strangers at the same time on chat lines (at least my daughter does. I wouldn't know what to talk about). We

can talk across the world. We can even talk to astronauts while they're space-walking. And, with the phone

line connected with the computer, we can aceess (进入) the Intemet, the biggest library on Earth.

1. How do you understand Point l- "The telephone creates the need to communicate"?

A. People don't communicate without telephone.

B. People communicate because of the creating of the telephone.

C. People communicate more since telephone has been created.

D. People communicate more because of more traffic.

2. Which of the following best shows people's attitude towards mobile phones?

A. Mobile phones can help to save people's lives.

B. Mobile phones are so important and should be encouraged.

C. Mobile phones bring convenience (便利) as well as few secrets to people.

D. Mobile phones can be used to talk to astronauts while they're space-walking.

3. Which points do you think support the idea that phones improve people's life'?

A. Point 3 and Point 4.

B. Point 4 and Point 5.

C. Point l and Point 3.

D. Point 2 and Point 5.

4. The best title for the passage would be _______.

A. Influence of Phones

B. Kinds of Phones

C. How to Use Phones

D. Advantage of Phones

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