The heart bypass (心脏搭桥术)has become part
of our cultural life. It has come to seem like a ceremony of passage for the
successful male, a red symbol of courage in midlife. Six hundred thousand bypass
operations are performed a year in the United States. After a bypass, most heart
patients experience significant relief from the peculiar discomfort in the chest
caused by insufficient blood to the heart muscle. In some cases the surgery can
dramatically extend life. American heart patients, who now number about 12
million, are enthusiastic about the surgery. Bypass is one of the most common
major operations in America. In private, however, many of my fellow workers in medicine suspect that bypass has become too popular. A recent Harvard study showed that as many as two-thirds of patients referred for bypass don’t need it or could A. a dangerous operation B. a painful experience C. a symbol of one’s success and courage D. nothing serious [多项选择]不停跳冠状动脉搭桥术与体外循环下冠状动脉搭桥术相比,优点在于()
A. 创伤小 B. 可用吸入麻醉药 C. 减少肺损伤 D. 缩短住院时间 E. 麻醉处理较容易 [单项选择]决定冠状动脉搭桥术依赖下列哪项检查()
A. 心脏磁共振成像 B. 心脏CT C. 冠状动脉造影 D. 心电图 E. 彩色超声心动图 [单项选择]下述哪种情况不应首选冠状动脉搭桥术()
A. 不稳定心绞痛,内科治疗效果不好 B. 右冠状动脉50%狭窄的单支病变 C. 左主干病变 D. 三支病变 E. 内科介入治疗后冠脉再狭窄 [多项选择]下列哪些血管可以作为冠状动脉搭桥术的血管移植物()
A. 胸廓内动脉 B. 小隐静脉 C. 桡动脉 D. 大隐静脉 E. 胃网膜右动脉 [单项选择]
患者,女,58岁,行胃癌根治术。2年前因冠心病行冠脉搭桥术,术后入ICU进行监护治疗,2小时后:BP为80/50mmHg,CVP为3cmH3O,PAWP为4mmHg,CO为2.3L/min,积极处理后,PAWP>15mmHg,而心排血量仍低。 此时应采取的措施为()A. 继续补充血容量 B. 间羟胺 C. 输注浓缩红细胞 D. 地塞米松 E. 正性肌力药物 [单项选择]男,65岁,两年前因冠心病行冠脉搭桥术,今因患胃癌行根治术而入ICU进行监护治疗,2小时后:BP 80/50mmHg,CVP 3cmH2O,PAWP 4mmHg,CO 2.3L/min。
如经上述处理后,PAWP<10mmHg,TPR降至110kPa·S/L,而心输出量仍低,这时应给予 A. 呋塞米 B. 补充血容量 C. 氢化可的松 D. 硝普钠 E. 硝酸甘油 我来回答: 提交
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