患者男性，28岁。三小时前经右侧颈内静脉放置中心静脉导管，现在出现呼吸困难，血压80
题型：单项选择题 案例分析题
问题：
患者男性，28岁。三小时前经右侧颈内静脉放置中心静脉导管，现在出现呼吸困难，血压80/69mmHg，HR130次/分，脉细，听诊心音遥远，检查口唇明显发绀、颈静脉怒张。
该病人出现上述异常，最可能的原因是（）。
A.穿刺时造成空气栓塞
B.充血性心力衰竭
C.出现张力性气胸
D.心包填塞
E.误穿刺动脉，造成血肿压迫
题型：单项选择题 案例分析题
任务型阅读 。
注意:每个空格只填1个单词
The health dangers of smoking have been well reported. For years, doctors have warned that
smoking can cause lung cancer. Studies also have linked smoking to several other kinds of cancer,
heart attacks and other diseases, lung diseases, and a number of other medical problems. The
repeated health warnings have had an effect. Thousands of people have stopped smoking. But as
many people have learned, stopping smoking can be very difficult.
A major problem apparently is the nicotine, a poisonous substance found in tobacco. Small
amounts of nicotine are released as tobacco is burned. And over many years of smoking, a person's
body becomes dependent on the substance. A try to stop smoking brings the problems of nicotine
withdrawal(脱瘾过程).
American medical researchers have found that nicotine withdrawal causes people to become angry
very easily, aggressive, worried and unable to think sharply. Many people who have tried to stop
smoking would confirm those findings.
To help people give up smoking, some tobacco companies have proposed chewing tobacco,
or using snuff as safe substitutes(替代物). Snuff is a tobacco powder that usually is breathed in.
But many people put it between their gum and cheek.
A group of British scientists said recently that many lives could be saved by a major program to
get cigarette smokers to change to snuff. An American scientist, Allan Blum, disagreed. Dr. Blum
argued that snuff, put in the mouth, can cause gum disease, teeth problems and throat problems that
lead to cancer. Dr. Blum also warned against chewing tobacco as a substitute for smoking. He said
chewing tobacco can lead to cancer of the mouth, throat or digestive system.
Medical researchers say another possible substitute for smoking is a special nicotine chewing gum.
The gum is already sold in Europe and Canada. A report says research shows that the chewing gum
will increase the amount of nicotine in a person's blood. This helps satisfy some people's desire for a
cigarette. However, the report says, the chewing gum also leads to some unpleasant side effects. And
it may be dangerous for people with heart problems.
Two other American scientists say they have found that the most effective way to stop smoking is
to do it completely, suddenly, all at once. The report by Saul Shirtman and Dr. Murray Jogbett says
that by stopping all at once, the worst problems of nicotine withdrawal are over in just a few days. But,
they say, by continuing to smoke, even a little less each day, the problems of withdrawal never end
completely.
