患者男,33岁,因“气短1d”入院。既往有特发性肺间质纤维化病史。查体:T36.5℃

题型:多项选择题 案例分析题

问题:

患者男,33岁,因“气短1d”入院。既往有特发性肺间质纤维化病史。查体:T36.5℃,HR104次/min,R60次/min;呼吸急促,发绀,两肺底有细湿性啰音。肺活量1000ml(正常成年男性3500ml)。血气分析:pH7.49,PaO258mmHg,PaCO232.5mmHg(正常40mmHg)。

该患者保守治疗后情况恶化,对其进行气管内插管机械通气的适应证为()

A.PaO2/FiO2f<300mmHg

B.PaCO2>50mmHg

C.RR>35次/min

D.VT<5ml/kg

E.HR>120次/min

F.下肢水肿

考点:麻醉学(医学高级)卫生高级职称考试麻醉(正高)特训密卷十
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A.With

B.By

C.At

D.To

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NOx是由空气中的氮和氧在燃烧室低温低压作用下反应生成的。

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B

In this age of cell phones, text messages and computer keyboards, one Scottish school has returned to basics.It's teaching youngsters the ignored art of writing with a fountain pen.There is no clicking of keyboards in most classrooms at the Mary Erskine and Stewart's Melville Junior School, although there is a full range of facilities (设施)for computer lessons and technology isn' t being ignored.The private school' s headmaster believes the old-fashioned pens have helped strengthen the academic (学术的) performance and self-esteem (自尊)of his 1,200 pupils.

"The pens improve the quality of work because they force the children to take care, and better work improves self-esteem", headmaster Bryan Lewis said." Proper handwriting is as relevant today as it ever has been." Students as young as 7 have been instructed to give up their ball point pens and begin to deal with its more artful predecessor.By the time they reach grade five, at age 9, they are expected to write mainly with fountain pens.Lewis said the school's 7- and 8-year-olds use fountain pens for 80 percent to 90 percent of their work, returning to pencils for such subjects as math."I don't see fountain pens as old-fashioned or out of date.Modern fountain pens are beautiful to use? it's not like in the old days of broken metal points and dirtying writing paper," Lewis said."We have a particular writing style and we have developed it very carefully and found a way that allows left-and right-handed people to write without dirtying paper."

Some people in wealthy nations argue that handwriting is becoming less important because of the growing use of cell phone text messaging and typing on computers, but the school disagrees."We talk of the paperless office and the paperless world, but this is not true," Lewis said."You still need to have proper handwriting skills."

60.The Scottish school in the passage _____.

A.does not think highly of modern technology

B.values fountain pens more than anything else

C.pays special attention to the use of fountain pens

D.takes an action which is considered to be stupid by a great many people

61.Which of the following statements is TRUE according to the passage?

A.Schools in Scotland all encourage using pens.

B.Fountain pens today are much more expensive.

C.Lewis thinks the idea of the paperless world impractical.

D.The left-handed can't benefit from the new fountain pens.

62.The underlined word "predecessor" in Paragraph 2 refers to _____.

A.the pencil     B.the fountain pen      C.the keyboard  D.the ball point pen

63.The headmaster Bryan Lewis holds the view that _____.

A.children should be required to use pens when they are five

B.using pens may slow down students' speed of writing

C.pens have helped to build up students' self-respect

D.handwriting skills are more important than typing skills

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比较可见光图像上和红外图像上的非雷暴云()。

A.卷云在两种图像上看起来都是暗灰色

B.卷云在可见光图像上一般是白色,而在红外图像上是浅灰色

C.卷云在红外图像上通常是白色不透明的,而在可见光图像上呈灰色纤维状

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附加险涉及的保险关系主体中,必须与主险保持一致有()

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B.被保险人

C.受益人

D.保险代理人

E.交费方式

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