病历摘要:患者男性,71岁,身高165cm,体重81kg,高血压,病史6年,长期服用尼群地平10mg 3/日及心得安10 mg 3/日降压治疗,血压控制在145-160/80-90 mmHg。18年前曾有反复哮喘发作史。烟龄20年,已戒烟18年。半个月来受凉后咳嗽咳痰迁延不愈,咳痰初为黄脓色,后转为白色泡沫痰。近5天来每晚11时左右出现胸闷气喘,在阳台呼吸新鲜空气并自行喷雾吸入一喷沙丁胺醇(舒喘灵),过30分钟后症状缓解,可重新入睡,但每晚气喘发作,连日来逐渐加重,遂住院进一步诊治。 提示:住院后治疗:输入生理盐水1650ml/日;静脉滴注氧氟沙星和克林霉素,另加口服克拉霉素抗感染;口服尼群地平与心得安降血压;喷雾吸入沙丁胺醇并滴注氨茶硷平喘。两天后,患者病情恶化,晚间呼吸困难急剧加重,频繁咳嗽,咳出粉红色泡沫痰,呼吸浅快,烦躁,大汗,血压达240/130mmHg,心率162次/分,奔马律,双肺闻大水泡音。值班医生迅即喷入沙丁胺醇反复多次,静注地塞米松、洛贝林、尼可刹米、西地兰,同时静脉泵入硝酸甘油。该病人的住院治疗用药与抢救用药有哪些不当或错误()
A. 用沙丁胺醇与氨茶硷平喘
B. 用尼群地平与心得安降血压
C. 静脉持续泵入硝酸甘油
D. 用克林霉素、氧氟沙星和克拉霉素抗感染
E. 静注地塞米松
F. 静注洛贝林和尼可刹米
G. 输入生理盐水1650ml/日
H. 静注西地兰
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TextThe American definition of success is largely one of acquiring wealth and a high material standard of living. It is not surprising, (1) , that Americans have valued education for its monetary value. The belief is widespread in the United States (2) the more schooling people have, the more money they will (3) when they leave school. The belief is strongest (4) the desirability of an undergraduate university degree, or a (5) degree such as medicine or law (6) the undergraduate degree. The money value of graduate degrees in (7) such as art, history, or philosophy is not (8) great.This belief in the monetary value of education is (9) by research outcomes on income. Ben Wattenberg, a social scientist, estimates that in the (10) of a lifetime a man (11) a college school diploma in 1972 could earn about $380,000 more than a man who (12) had a high school diploma. Perhaps this helps to explain survey (13) which showed that Americans who (14) they had lived their lives differently in some way regretted (15) of all that they did not get more education. The regret is (16) by those who have made (17) to the top and by those who have not. (18) a man like Douglas Fraser, the president of the United Auto Workers Union, a nationally known and successful leader, was (19) by regrets that he did not climb higher on the (20) ladder. 18()
As
B. For
C. Such
D. Even
二氢吡啶环上,3,5位取代基均为甲酸甲酯的药物是
A. 氨氯地平
B. 尼卡地平
C. 硝苯地平
D. 尼群地平
E. 尼莫地平
Questions23 to25 are based on a talk on the transportation facilities and tourism in Germany. Of the German National Tourist Board’s total budget, how much is granted by the federal government?()
A. 20%.
B. 30%.
C. 40%.
D. 50%.
Text 1During the past fifteen years a great deal of attention has been given to "letting it all hang out." My impression is that this over-zealous devotion to speaking one’s mind has more often led to hurt feelings and mined relationships than to great joy and fulfillment.I think we generally agree that holding in real feelings and never expressing less-than-lovely thoughts about each other hardly lead to constructive communication. It’s a great relief to allow ourselves the luxury of admitting our human weaknesses and pursuing more honest relationships with others. But we need to strike a balance between telling it all and telling nothing.Recently I received a letter from a mother who had been persuaded by her troubled twenty-five-year-old son to attend a weekend "troth" marathon with him. Under pressure from the group, her defenses collapsed and she heard herself telling her son for the first time that he had been an accident—that she hadn’t been planning to have a child. He in turn told her that he couldn’t recall a single day in his childhood that he’d been happy."At that time," this woman wrote, "it seemed helpful. We cried and we made up; I thought telling the truth had been good for us. But the trouble is, it wasn’t the whole truth. By the time Tommy was born, I did want him, and at times he was happy. Ever since that day, we’ve both been disturbed by some terrible feelings we shared."I must admit we’ve come to the conclusion that some things are better left unsaid. Honesty is a fine policy as long as we know what the truth really is—but most of the time we don’t. It’s a fine goal to encourage children to express their real feelings. But we need a new sense of balance. Telling it all is not a cure-all for every problem nor even an end in itself. It’s useful and freeing under some circumstances and terribly hurtful and damaging under others.It’s a good idea, I think, to bite your tongue for ten or fifteen minutes before saying what’s on your mind. Try to decide whether it’s going to open up new and better avenues of communication or leave wounds that may never heal. The author tries to say that telling it all may ().
A. bring about undesirable consequences
B. result in constructive communication
C. help correct one’s shortcomings
D. lead to great joy and fulfillment