男性,35岁,农民工,食用市售熟肉后1小时感恶心、呕吐、腹痛,伴呼吸困难。查体:意识

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问题:

男性,35岁,农民工,食用市售熟肉后1小时感恶心、呕吐、腹痛,伴呼吸困难。查体:意识模糊,双侧瞳孔直径3mm,口唇、面部及四肢末端明显发绀,BP120/76mmHg,HR110次/分,心肺听诊(-)。最可能的是()

A.有机磷中毒

B.毒鼠强中毒

C.杀虫脒中毒

D.拟除虫菊酯类农药中毒

E.亚硝酸盐中毒

考点:急诊医学(医学高级)急诊医学综合复习题急诊医学综合复习题题库
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在考生目录下完成如下操作:

为course表创建一个主索引,索引名为cno、索引表达式为“课程号”。

题型:单项选择题

阅读理解。

    Studies have shown it takes a doctor about 18 seconds to stop a patient after he begins talking. 

    It was Sunday. I had one last patient to see. I came close to her room in a hurry and stood at the doorway.

She was an older woman, sitting at the edge of the bed, trying to put socks on her swollen(肿大的) feet. I

spoke quickly to the nurse, saw her chart saying she was in stable(稳定的) condition. I was almost in the

clear. 

   She asked if I could help put on her socks. Instead, I began a long speech that went something like this:

" How are you feeling? Your blood sugar and blood pressure (血压)were high but they're better today. The

nurse said you can't wait to see your son who's visiting you today. It's nice to have a family visit from far

away. I'm sure you really look forward to seeing him. "

    She stopped me with a serious voice. " Sit down, doctor. This is my story, not your story. "

    I was surprised and ashamed. I sat down. I helped her with the socks. She began to tell me that her only

son lived around the corner from her, but she had not seen him in five years. She believed that the pressure of

this caused greatly to her health problems. After hearing her story and putting on her socks, I asked if there

was anything else I could do for her. She shook her head and smiled. All she wanted me to do was to listen.

     Listening to someone's story costs less than expensive diagnostic(诊断的) testing but is key to healing

(痊愈).

     I often thought of what that woman taught me the importance of stopping, sitting down and truly listening.

And, not long after, unexpectedly, I became the patient, with a diagnosis of sclerosis(硬化症) at age 31. Now,

 20 years later, I sit all the time in a wheelchair.

     For as long as I could, I continued to see patients from my chair, but I had to give up my job when my

hands were influenced. I still teach medical students and other health care professionals, but now from the view

of doctor and patient.

    I tell them I believe in the power( 力量) of listening. I tell them I know firsthand that huge healing takes place within me when someone stops, sits down and listens to my story.  

1. What does"I was almost in the clear" mean?

A. I thought everything was clear.

B. I was about to finish my work.

C. I almost made myself understood.

D. I was very quickly out of her sight.

2. From the 4th paragraph, we can infer the woman ___from the way she said.

A. showed her anger and impatience

B. refused to listen to the doctor

C. liked giving orders to people

D. could not wait to break in

3. What is the best title of the passage?

A. Listening-a Powerful Medicine

B. An Unforgettable Experience

C. A Lesson Given by a Patient

D. Care—a Key to Treatment .

题型:单项选择题

依据《生产安全事故报告和调查处理条例》,一般事故应上报至( )安全生产监督管理部门和负有安全生产监督管理职责的有关部门。

A.县(区)市人民政府

B.设区的市级人民政府

C.省(区、市)级人民政府

D.国务院

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热电偶的偶丝越细,则()。

A、灵敏度越高

B、反应越快

C、越耐用

D、灵敏度越低

题型:单项选择题

水环境功能区可分为4个阶段,即();()、定量决策和综合评价。

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