患者,男性,52岁,57kg,13年前无明显原因感劳累后心悸、气短,因近一个半月症状

题型:多项选择题 案例分析题

问题:

患者,男性,52岁,57kg,13年前无明显原因感劳累后心悸、气短,因近一个半月症状明显加重,咳嗽、咯白色泡沫痰,不能平卧入院。体检:T37.5℃,RR20次/分,P118次/分,BP95/60mmHg。颈静脉怒张,听诊两中下肺野可闻及湿啰音,心律不齐,心前区舒张期杂音及剑突下收缩期杂音,肝右肋下4cm,双下肢凹陷性水肿。经检查心电图示:异位心律,心室率144次/分,心房纤颤;胸部X平片:双肺淤血,肺动脉主干扩张,左房右室增大;超声心动图示:二尖瓣增厚、钙化,交界部粘连,开放明显受限,关闭时少量反流。瓣口面积0.8cm2,三尖瓣回声偏强,开放正常关闭欠佳。心导管检查示右房压17mmHg,肺动脉压63mmHg,肺毛细血管楔压23mmHg,心输出量2.2升/分;血气分析pH7.25,PCO235mmHg,PO278mmHg,BE-7.5。

针对该患者的麻醉处理下列哪些是正确的()。

A.由于患者每搏量较小,为了维持相对正常的心输出量,应将心率控制得略偏快些

B.避免过度通气以防诱发肺动脉高压危象

C.不宜使用作用强的扩血管药物

D.不宜使用导致组胺释放的药物

E.术中宜放置SWAN-GANZ漂浮导管,及时了解体循环阻力及肺血管阻力情况

F.当出现低血压时,在兼顾容量、强心处理的同时,首选的升压药为去氧肾上腺素

考点:江苏住院医师麻醉科Ⅱ阶段麻醉科习题集麻醉科习题集题库
题型:多项选择题 案例分析题

眼睑闭合不全的最大危险是()。

A.结膜干燥

B.慢性结膜炎

C.翼状胬肉

D.暴露性角膜溃疡

E.溢泪

题型:多项选择题 案例分析题

( )是企业投资决策的结果,表现在资产收益率的变动上。

A.投资风险

B.经营风险

C.财务风险

D.融资风险

题型:多项选择题 案例分析题

阅读理解

Visit one of the most outstanding prehistoric sites in the United Kingdom, and enjoy amazing historic

English attractions. Please notice that every tour starts and ends in London. Have a tour with Visiting

Britain.

Stonehenge Direct Tour

Visit one of the most outstanding prehistoric sites in England and in the world: Stonehenge.

Duration: 1 day

Price: Adults £29.99, Children £28.99

Stonehenge and Bath Tour

Enjoy a late breakfast before heading to the Stonehenge site and end your day with an original visit of the Roman Baths.

Duration: 10 hours(departure 10:30 am return 8:30 pm).

Price: Adults £64, Children £60

Stonehenge, Bath and WindsorCastle Tour

Explore three of England’s most popular sites to visit: WindsorCastle, Stonehenge and theRoman Baths.

Duration: 1 day(return 8:30 pm)

Price: Adults £64.80, Children £61.20.Sign before Feburary 1st,and you only need to pay half of the

price.

Stonehenge, Lacock and Bath Tour

Come and feel the warmth of Bath, see the pleasant village of Lacock, and solve the mystery of

Stonehenge.

Duration: 1 day(return 6 pm)

Price: Adults £85, Children £78

Stonehenge, Windsor and Oxford Tour

Choose Stonehenge, Windsor and Oxford Tour and enjoy ancient mysticism, royal history and illustrious

knowledge.

Duration: 1 day

Price: Adults £72, Children £68

Stonehenge, Bath and Stratford Tour

Take a tour to make the most of the English historic attractions: the Stonehenge site, Bath andStratford,

the birthplace of playwright William Shakespeare.

Duration: 1 day(return 8 pm)      Price: Adults £79, Children £68

1. The purpose of the passage is to ___________.

A. advertise some popular English cities  

B. suggest some different tours in England

C. tell readers how to save money while traveling

D. describe different routes to travel in England

2. Two 15-year-old foreign students who want to visit Stonehenge and Oxford University will have

    to pay at least _____________.

A. £136    

B. £170

C. £110      

D. £126

3. When can you come back to London after visiting Stonehenge and the Roman Baths?

A. At6 pm.    

B. At7 pm.

C. At 8 pm.  

D. At 8:30 pm.

4. If you plan to travel with your kid who is a fan of Shakespeare, you would choose _______.

A. Stonehenge Direct Tour

B. Stonehenge, Bath and Stratford Tour

C. Stonehenge, Windsor and Oxford Tour

D. Stonehenge, Bath and WindsorCastle Tour

5.Which tour will have a discount?

A. Stonehenge Direct Tour  

B.. Stonehenge and Bath Tour

C. Stonehenge, Bath and Windsor Castle Tour

D. Stonehenge, Lacock and Bath Tour

题型:多项选择题 案例分析题

疟疾患者表现进行性蛋白尿,贫血与浮肿,经久不愈。虽经抗疟药加肾上腺皮质激素,治疗仍无效。你考虑该患者符合下列何种疾患()

A.间日疟引起的肾病综合征

B.恶性疟引起的肾小球肾炎

C.卵形疟引起的肾病综合征

D.三日疟引起的肾小球肾炎

E.三日疟引起的肾病综合征

题型:多项选择题 案例分析题

Oracle创建()来处理连接到实例的用户进程的请求。

A.服务器进程

B.SGA

C.应用程序代码

D.网络服务进程

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