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发布时间:2024-10-08 01:47:44

[不定项选择题]一新生儿,38孕周,因“窒息复苏后气促30分钟”入院,产前羊水Ⅲ度污染,1分钟、5分钟、10分钟Apgar评分分别为3分、6分、9分。查体呼吸67次/分,反应差,肌张力减弱,原始反射减弱。 目前应当做的检査是
A.胸片
B.头颅CT
C.凝血四项
D.血气分析
E.检查头颅B超

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[不定项选择题]一新生儿,38孕周,因“窒息复苏后气促30分钟”入院,产前羊水Ⅲ度污染,1分钟、5分钟、10分钟Apgar评分分别为3分、6分、9分。查体呼吸67次/分,反应差,肌张力减弱,原始反射减弱。 患儿于治疗的第2天,出现全身发绀明显,给予吸氧后缓解不明显,听诊肺部未闻及中细湿啰音,心脏听诊有杂音。目前最应当做的检查是
A.胸片
B.头颅B超
C.心脏彩超
D.血气分析
E.头颅CT
[不定项选择题]38孕周新生儿,Apgar评分1分钟为9分,生后喂养困难,3天均只给予白水喂养,今日突然出现惊厥。 下列说法中不正确的是
A.患儿为有症状性低血糖
B.治疗上给予10%葡萄糖1.0ml/kg,按每分钟1.0ml静注
C.血糖稳定后改为每分钟6~8mg/(kgmin)
D.血糖正常48~72小时后停药
E.每小时监测血糖一次
[不定项选择题]以下哪种情况初步复苏后应加用复苏囊
A.肌张力明显减低
B.初步复苏后无自主呼吸
C.四肢青紫
D.刺激无反应
E.心率<120次/分
[不定项选择题]孕38周娩出女婴,体重3200g,身长48cm。 根据孕周选择正确的说法是
A.足月小样儿
B.早产儿
C.超期产儿
D.未成熟儿
E.正常胎龄儿
[不定项选择题]共用题干 早产儿,生后16小时,第二产程延长,吸引器助产,出生时窒息2分钟,复苏后嗜睡,查体:体温36℃,口周略青,前囟饱满,心肺(-)。 该患儿不适宜的护理措施是
A.保持安静,尽力避免惊扰
B.烦躁不安、惊厥时可用镇静剂
C.选用头皮静脉穿刺,并选用留置针,减少反复穿刺
D.可使用维生素K1以控制出血
E.如发热可打开包被降温
[不定项选择题](共用题干)患者男,52岁。心跳呼吸骤停、心肺复苏后,自主呼吸未完全恢复。 为维持良好的通气功能,减缓脑水肿的发展,可借助轻度过度通气,PaCO2值的范围维持在( )。
A.10~15mmHg
B.15~25mmHg
C.25~35mmHg
D.35~40mmHg
E.40~45mmHg
[不定项选择题](共用题干)患者男,52岁。心跳呼吸骤停、心肺复苏后,自主呼吸未完全恢复。 若进行长时间的人工呼吸,理想的机械是( )。
A.麻醉机
B.高频通气机
C.非同步呼吸机
D.简易气囊呼吸机
E.自动人工呼吸机
[不定项选择题]共用题干 Animal's “Sixth Sense”
A tsunami(海啸)was triggered(引发)by an earthquake in the Indian Ocean in December, 2004.It killed tens of thousands of people in Asia and East Africa. Wild animals,1, seem to have escaped that terrible tsunami. This phenomenon adds weight to notions that they possess a“sixth sense” for2 ,experts said.
Sri Lankan wildlife officials have said the giant waves that killed over 24,000 people along the Indian Ocean island's coast clearly 3 wild beasts,with no dead animals found.
“No elephants are dead,not4a dead rabbit. I think animals can5 disaster.
They have a sixth sense. They know when things are happening,” H. D. Ratnayake,deputy director of Sri Lanka's Wildlife Department,said about one month after the tsunami attack. The6washed floodwaters up to 2 miles inland at Yala National Park in the ravaged(被 毁坏的)southeast, Sri Lanka's biggest wildlife7and home to hundreds of wild elephants and several leopards(豹).
“There has been a lot of8 evidence about dogs barking or birds migrating before volcanic eruptions(火山爆发)or earthquakes. But it has not been proven ,” said Matthew van Lierop,an animal behavior 9 at Johannesburg Zoo.
“There have been no10studies because you can't really test it in a lab or field setting , ” he told Reuters. Other authorities concurred(同意)with this11.
“Wildlife seem to be able to pick up certain12 ,especially birds…there are many re- ports of birds detecting impending(迫近的)disasters , ” said Clive Walker , who has written several books on African wildlife.
Animals13 rely on the known senses such as smell or hearing to avoid danger such as predators(食肉动物).
The notion of an animal “sixth sense”一or14other mythical power一is an enduring one which the evidence on Sri Lanka's ravaged coast is likely to add15. 10._________
A.strange
B.specific
C.social
D.funny

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