12岁女童,参加学校组织的春游后出现咳嗽、咳白黏痰伴喘息1天入院,生命体征平稳,在肺部可闻及广泛哮鸣音,既往有支气管哮喘史。 患者进一步表现为发绀明显、端坐呼吸、大汗淋漓,经24h一般解痉治疗后症状无缓解,判断患者为
A. 混合性哮喘
B. 内源性哮喘
C. 哮喘持续状态
D. 左心衰竭
E. 右心衰竭
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12岁女童,参加学校组织的春游后出现咳嗽、咳白黏痰伴喘息1天入院,生命体征平稳,在肺部可闻及广泛哮鸣音,既往有支气管哮喘史。 该患者最可能的诊断是
A. 肺炎
B. 支气管扩张症
C. 肺心病
D. 支气管哮喘
E. 慢性支气管炎
患者男性,52岁,肝硬化,大量腹水。入院后给予利尿剂治疗,腹水量明显减少,但患者出现了淡漠少言、反应迟钝、言语不清等症状。 根据患者的情况,考虑可能出现了
A. 继发感染
B. 脑出血
C. 低血糖昏迷
D. 肝性脑病
E. 肝肾综合征
12岁女童,参加学校组织的春游后出现咳嗽、咳白黏痰伴喘息1天入院,生命体征平稳,在肺部可闻及广泛哮鸣音,既往有支气管哮喘史。 对该患者应采取的护理措施不包括
A. 每日静脉补液量应在2500~3000ml
B. 在病室内摆放鲜花
C. 遵医嘱给予祛痰药物
D. 遵医嘱给予糖皮质激素
E. 遵医嘱给予氧疗
Children are getting so fat that they may be the first generation to die before their parents. To- day’s youngsters are already falling prey to potential killers such as diabetes because of their weight.(46) Fatty fast-food diets combined with sitting lifestyles dominated by televisions and computers could mean kids will die tragically young, says Professor Andrew Prentice, from the London School of Hygiene and Tropical Medicine. At the same time, the shape of the human body is going through a huge evolutionary shift because adults are getting so fat.Here in Britain, latest research shows that the average waist size for a man is 36-38in and may be 42-44in by 2032. This compares with only 32.6in in 1972. Women’s waists have grown from an average of 22in in 1920 to 24in in the Fifties and 30in now.One of the major reasons why children now are at greater risk is that we are getting fatter younger. In the UK alone, more than one million under-16s are classed as overweight or obese -- double the number in the mid-Eighties. One in ten four-year-olds are also medically classified as obese.The obesity pandemic -- an extensive epidemic -- which started in the US, has now spread to Europe, Australasia, Central America and the Middle East. (47) Many nations now record more than 20 percent of their population as clinically fat and well over half the population as overweight. (48) Prof. Prentice said the change in our shape has been caused by an oversupply of easily available high-energy foods combined with a dramatic drop in the energy we use as a result of technology developments.He is not alone in his concern. Only last week one medical journal revealed how obesity was fuelling a rise in cancer cases. Obesity also increases the risk factor for strokes and heart disease as well as diabetes. (49) An averagely overweight person’s lifespan is shortened by around nine years while a severely overweight person by many more.Prof. Prentice said: "So will parents outlive their children, as claimed recently by an American obesity specialist Yes, when the offspring become grossly obese. This is now becoming an alarmingly common occurrence in the US. (50) Such children and adolescents have a greatly reduced quality of life in terms of both their physical and psychosocial health. So say No to that doughnut and burger." Such children and adolescents have a greatly reduced quality of life in terms of both their physical and psychosocial health. So say No to that doughnut and burger."