无创正压机械通气在慢性阻塞性肺疾病急性加重期的治疗时机包括() A.使有创到无创序贯

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问题:

无创正压机械通气在慢性阻塞性肺疾病急性加重期的治疗时机包括()

A.使有创到无创序贯治疗,减少有创通气时间

B.有创通气,呼吸衰竭有一定缓解,仍不适于撤机,代以无创正压通气

C.呼吸衰竭早期,感染不重,痰液引流不突出,呼吸肌疲劳是主因

D.伴急性心肌梗死患者

E.不能清除气道分泌物的患者

考点:中医内科学(医学高级)医学高级(中医内科)副高特训密卷三
题型:多项选择题

阅读理解。

     On May 23,1989, Stefania Follini came out from a cave at Carlsbad,New Mexico. She hadn't seen

the sun for eighteen and a half weeks.  Stefania was in a research program,and the scientists in the

program were studying body rhythms (节奏) . In this experiment Stefania had spent 130 days in a cave,

30 feet in depth.

     During her time in the cave,Stefania had been completely alone except for two white mice. Her living

place had been very comfortable,but there had been nothing to tell her the time. She'd had no clock or

watches,no television or radio.  There had been no natural light and the temperature had always been

kept at 21℃.

      The results were very interesting. Stefania had been in the cave for over four months,but she thought

she had been there for only two. Her body clock had changed. She hadn't kept to a 24-hour day. She

had stayed awake for 20-25 hours and then had slept for 10 hours.  She had eaten fewer meals and had

lost 17 lbs in weight as a result ! She had also become  rather depressed (抑郁) .

     How had she spent her time in the cave? As part of the experiment she'd done some physical and

mental tests.She'd recorded her daily activities and the results of the tests on a computer. This computer

had been specially programmed for the project.  Whenever she was free, she'd played cards,read books

and listened to music.  She'd also learned French from tapes.

      The experiment showed that our body clocks are affected by light and temperature,for example,the

pattem of day and night makes us wake up and go to sleep.  However,people are affected in different

ways.  Some people wake up naturally at 5:00 am,but others don't start to wake up till 9:00 0r 10:00 am.  This affects the whole daily rhythm.  As a result,the early risers are at their best in the late moming.

The late risers,on the other hand,are tired during the day and only come to life in the aftemoon or evening !

1. Stefania stayed in the cave for a long time because___.  

A. she was asked to do research on mice

B. she wanted to experience loneliness

C. she was the subject of a study

D.  she needed to record her life

2. What is a cause for the change of Stefania's body clock?    

A. Eating fewer meals.

B.  Having more hours of sleep.

C. Lacking physical exercise.

D.  Getting no natural light.

3. Where doos the text probably come from? 

A. A novel.                                

B. A news story.

C. A pet magazine.                          

D. A travel guide.

题型:多项选择题

男性,45岁,上腹部规律性疼痛5年,近半年来加剧难以缓解,常有黑便,近日体重减轻2~2.5kg。

该患者若出现浅表淋巴结肿大,最有可能的组群是

A.腋窝淋巴结

B.颏下淋巴结

C.左锁骨上淋巴结

D.颌下淋巴结

题型:多项选择题

基本药物政策

题型:多项选择题

“乙类目录”由国家制定,各省、自治区、直辖市可根据当地经济水平、医疗需求和用药习惯,适当进行调整,增加和减少的品种数之和不得超过国家制定的“乙类目录”药品总数的15%。

题型:多项选择题

建筑结构的荷载中,积灰荷载属于()荷载。

A.永久

B.可变

C.偶然

D.冲击

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