鐩搁棞(gu膩n)鎺ㄨ枽锛�2019骞村绉戜富娌婚啱(y墨)甯€冭│鑰冨墠蹇呭仛妯℃摤椤屽尟绺�

1[A3/A4鍨嬮]鐢凤紝46姝�銆傝鍊掑鐨勫⒒澹撲綇鑳歌吂閮�1灏忔檪锛岃ù鑳哥棝銆佸彛娓�銆佸翱灏�銆傛鏌ワ細绁炴竻锛岃剤鎼�120娆�/鍒�锛屽懠鍚稿洶闆�24娆�/鍒嗭紝琛€澹�90/68mmHg銆傚彸涓嬭兏澹佹湁4cm鍌峰彛锛岃鑲鸿嚐娲诲嫊銆佹薄鐗╁銆傝吂灏氳粺锛屼笂鑵瑰鐥�銆佽紩搴﹀弽璺崇棝锛岀Щ鍕曟€ф縼闊�(+)锛屽洓鑲㈢劇鐗规畩銆傚翱鑹叉竻锛岃WBC1.4×109/L锛孒b90g/L銆�

瑭叉偅鑰呮渶鏄撻鍏堢櫦(f膩)鐢熺殑鍏ㄨ韩鍓�(chu脿ng)鍌峰弽鎳�(y墨ng)鏄�

A.鍏ㄨ韩鐐庣櫏鍙嶆噳(y墨ng)缍滃悎寰�

B.鍛煎惛鎬у牽涓瘨

C.浠ｈ瑵鎬у牽涓瘨

D.澶氬櫒瀹樺姛鑳借“绔�

E.浠ｈ瑵鎬ч吀涓瘨

姝ｇ⒑绛旀:A

銆愬畼鏂硅В鏋愩€�

瑭叉偅鑰呮槸澶氱櫦(f膩)鍌�锛岄枊濮嬬梾鎯呭嵆寰堥噸銆傚叆闄㈡檪鑳搁儴鍌峰彛娣遍仈(d谩)鑳歌厰鍏�(n猫i)锛屽紩璧峰毚(y谩n)閲嶅懠鍚稿洶闆ｏ紝鍏朵富瑕佽ê鏂锋噳(y墨ng)鏄枊鏀炬€ф埃鑳�锛屽叾浠栧洓鍊嬭ê鏂峰緸椤屽共璩囨枡鍒嗘瀽灏氫笉瀛樺湪鎴栨槸閷鐨勶紝鏁呴1鐨勭瓟妗堟槸D銆傚悓鏅傛噳(y墨ng)瑾槑瑭叉偅鑰呮槸閲嶅偡锛屽繀鐒跺紩璧蜂竴绯诲垪鐥呯悊璁婂寲锛屽叾涓鍏堣繀鍗崇櫦(f膩)鐢熺殑鎳�(y墨ng)鏄叏韬値鐧ュ弽鎳�(y墨ng)缍滃悎寰侊紝鑰岄吀鍫垮钩琛″け瑾�(di脿o)銆佸鍣ㄥ畼鍔熻兘闅滅闇€缍�(j墨ng)涓€瀹氭檪闁�銆佸偡鎯呯櫦(f膩)灞曞悗鎵嶇櫦(f膩)鐢�锛屾晠椤�2鐨勭瓟妗堟槸A銆�

2[A3/A4鍨嬮]鎮ｈ€咃紝濂虫€�锛�50姝�锛屽洜鑵圭棝銆佸様鍚�銆佸仠姝㈡帓姘ｆ帓渚垮氨瑷猴紝灏块噺600ml/d銆傛煡楂旓細琛€澹�100/70mmHg锛岀毊鑶氬共鐕�锛岀溂鐞冧笅闄�锛岃吂鑴�锛岃吀槌撮煶浜㈤€�(j矛n)锛岀櫧绱�(x矛)鑳�12×109/L锛岃娓呴墍3.7mmol/L锛岃娓呴垑128mmol/L锛岃娓呮隘101mmol/L銆�

姝よê鏂风殑涓昏渚濇摎(j霉)鏄�( )

A.鑵圭棝銆佸様鍚�

B.鍋滄鎺掓埃鎺掍究

C.灏块噺600ml/d

D.鐪肩悆涓嬮櫡

E.琛€娓呴垑128mmol/L\

] 姝ｇ⒑绛旀:E

3[A3/A4鍨嬮]鐢锋€э紝34姝�銆傝喗鍥婄祼(ji茅)鐭筹紝鎿鑶藉泭鍒囬櫎琛�(sh霉)銆傛棦寰€鎱㈡€т箼鍨嬭倽鐐庣梾鍙�4骞�銆�

鎵嬭(sh霉)涓爯(y霉)闃茶喗-蹇冨弽灏勭殑鎺柦涓�锛屾纰虹殑鏄�

A.琛�(sh霉)鍓嶈倢娉ㄩ樋鎵樺搧

B.闃叉不浣庤澹�

C.闃叉楹婚唹閬庢泛銆佺己姘�

D.灏侀枆鑶藉泭涓夎鍗€(q奴)

E.浠ヤ笂閮芥槸

姝ｇ⒑绛旀:E

4[A3/A4鍨嬮]濂�锛�45姝�锛岄枔姝囨€у彸涓婅吂鐥涗即鐨啔闉忚啘榛冩煋锛岀櫦(f膩)鐔�10澶�锛屽姞閲�3澶╁叆闄�銆傛不鐧傛湡闁撶獊鐒跺嚭鐝�(xi脿n)瀵掓埌(zh脿n)楂樼啽锛孴39.4鈩冿紝绁炲織娣℃紶锛岄潰鑹茶捈鐧斤紝鐨啔鍘ュ喎锛屾墜瓒冲啺鍐凤紝鑴�125娆�/鍒�锛岃澹�70/45mmHg銆�

鏍规摎(j霉)鎮ｈ€呯殑鑷ㄥ簥琛ㄧ従(xi脿n)锛屽叾鐩墠鎳�(y墨ng)铏曚簬

A.浼戝厠鍓嶆湡

B.浼戝厠浠ｅ劅鏈�

C.浼戝厠澶变唬鍎熸湡

D.浼戝厠鎶戝埗鏈�

E.浼戝厠绲傛湯鏈�

姝ｇ⒑绛旀:D

銆愬畼鏂硅В鏋愩€�

鎬ユ€ц喗绠＄値濡傚緱涓嶅埌鏈夋晥鐨勬帶鍒�锛屽墖鍙兘閫�(j矛n)涓€姝ョ櫦(f膩)灞曟垚鎬ユ€ф闃绘€у寲鑶挎€ц喗绠＄値锛岃嚚搴婁笂鍙嚭鐝�(xi脿n)C涓€妗胯弻鎰熸煋鎵€寮曡捣鐨�“鍐蜂紤鍏�”鏁呯瓟妗堢偤B;浼戝厠鐨勪笉鍚屾檪鏈熻嚚搴婅〃鐝�(xi脿n)鍚勪笉鐩稿悓锛岀暥(d膩ng)鍑虹従(xi脿n)琛€澹撲笅闄�锛岃剤鎼忓蹇�锛屾湯姊㈠惊鐠�(hu谩n)鐧�(f膩)鐢熸敼璁婃檪锛屽墖瑾槑宸茬稉(j墨ng)閫�(j矛n)鍏ュ埌浼戝厠鎶戝埗鏈�锛屾晠姝ら绛旀鐐篋銆傝喛姣掓€т紤鍏嬬殑娌荤檪鍘熷墖鏄尘姝ｄ紤鍏嬭垏鎺у埗鎰熸煋骞堕噸銆傚湪浼戝厠鏈熸噳(y墨ng)钁楅噸娌荤檪浼戝厠锛屽悓鏅傛帶鍒舵劅鏌擄紝鎺у埗鎰熸煋鐨勯棞(gu膩n)閸垫槸绌嶆サ铏曠悊鍘熺櫦(f膩)鎰熸煋鐥呯伓锛屾晠姝ら绛旀鐐篍銆�

5[A3/A4鍨嬮]鐢锋€�锛�62姝�锛屽乏鍋�(c猫)鑵硅偂婧濈毊鑶氭參鎬ф桨鐦�4骞达紝杩�1鍊嬫湀渚嗘桨鐦嶈寖鍦嶆摯(ku貌)澶�锛岄倞绶ｄ笉瑕�(gu墨)鍓囬殕璧�锛屽簳閮ㄤ笉骞虫暣锛岃〃闈㈣钃嬭喛鑻�锛屾槗鍑鸿銆傛煡楂旂櫦(f膩)鐝�(xi脿n)宸﹀伌(c猫)鑵硅偂婧濇穻宸寸祼(ji茅)鑵ぇ

鏈€鍙兘鐨勮ê鏂锋槸

A.鐨啔涔抽牠鐙€鐦�

B.楸楃媭绱�(x矛)鑳炵檶

C.鍩哄簳绱�(x矛)鑳炵檶

D.榛戣壊绱犵槫

E.娣嬪反鐦�

姝ｇ⒑绛旀:B

6[A3/A4鍨嬮]濂虫€э紝59姝�锛岃姹借粖纰惧楠ㄧ泦鍚�3灏忔檪鑰岄€佽嚦閱�(y墨)闄�銆傛煡楂旓細鐥呬汉璀锛岀毊鑶氱櫦(f膩)绱�锛屽洓鑲㈠帴鍐凤紝琛€澹�60/40mmHg锛岃剤鎼忕窗(x矛)閫�銆�

鑰冩叜鍏跺彲鑳藉瓨鍦ㄧ殑浼戝厠鐐�( )

A.鍓�(chu脿ng)鍌锋€т紤鍏�

B.绁炵稉(j墨ng)婧愭€т紤鍏�

C.蹇冩簮鎬т紤鍏�

D.閬庢晱鎬т紤鍏�

E.鎰熸煋鎬т紤鍏�

姝ｇ⒑绛旀:A

銆愬畼鏂硅В鏋愩€�

2.璀銆佸洓鑲㈠帴鍐�銆佽澹�60/40mmHg鐐洪噸搴︿紤鍏�銆�

7[A3/A4鍨嬮]鎮ｈ€�锛岀敺锛�48姝层€傚彸鍋�(c猫)灏忚吙鑵劰鐤肩棝1澶�锛屼即鐧�(f膩)鐔�銆侀牠鐥涖€傛煡楂旓細鍙冲伌(c猫)灏忚吙澶栧伌(c猫)鐨啔绱呰叓銆佺毊婧楂�銆佽Ц涔嬬柤鐥涖€佺梾璁婂鐣屾竻妤�锛岃吂鑲℃簼鍙強鑵ぇ娣嬪反绲�(ji茅)銆�

姝ょ梾鏈€甯歌鐨勮嚧鐥呰弻鏄�

A.閲戦粌鑹茶憽钀勭悆鑿�

B.涔欏瀷婧惰鎬ч張鐞冭弻

C.澶ц吀妗胯弻

D.閵呯稜鍋囧柈鑳炶弻

E.璁婂舰妗胯弻

姝ｇ⒑绛旀:B

8[A3/A4鍨嬮]鐢�锛�72姝�銆傚洜"鑲濆収(n猫i)澶栬喗绠＄祼(ji茅)鐭�"鎿鎵嬭(sh霉)娌荤檪銆傝(sh霉)鍓嶈倽鍔熻兘妾㈡煡绀猴細ALT58U/L锛孉ST73U/L锛岀附鑶界磪绱�48.8μmol/L锛岀洿鎺ヨ喗绱呯礌35.2μmol/L锛岀櫧铔嬬櫧29g/L锛屽嚌琛€閰跺師鏅傞枔寤堕暦4绉掞紝涓瓑閲忚吂姘�锛屽ぇ渚块粌锛岀劇鐧�(f膩)鐔�銆�

鍛婄煡瀹跺爆鎵嬭(sh霉)棰�(f膿ng)闅殑绋嬪害锛屾噳(y墨ng)鐣�(d膩ng)瑾�

A.鍗遍毆鎬уぇ

B.鍗遍毆鎬т腑搴�

C.鍗遍毆鎬у皬

D.鎮ｈ€呰€愬彈鑹ソ

E.棰�(f膿ng)闅笉澶�

姝ｇ⒑绛旀:A

銆愬畼鏂硅В鏋愩€�

鎮ｈ€呰倽鑷熸墜琛�(sh霉)鐨勯ⅷ(f膿ng)闅垏鑲濆姛鑳界殑Child-Pugh鍒嗙礆鏈夐棞(gu膩n)锛屾偅鑰呭緱鍒�5锝�6鍒嗘檪锛屾墜琛�(sh霉)鍗遍毆鎬у皬锛�8锝�9鍒嗙偤涓瓑鍗遍毆锛�10锝�15鍒嗗墖琛ㄦ槑鎵嬭(sh霉)鍗遍毆鎬уぇ銆傛椤岀洰涓偅鑰呯殑鑶界磪绱犳按骞炽€佸嚌琛€閰跺師鏅傞枔灞珺绱�锛屽悇2鍒�;鐧借泲鐧�銆佽吂姘撮噺灞珻绱氾紝鍚�3鍒嗐€傛墍浠ユ偅鑰呰倽鍔熻兘鐐篊hildC绱�锛岃(sh霉)鍓嶈⿻鍒嗙偤10鍒嗭紝鎵嬭(sh霉)鍗遍毆鎬уぇ銆傛澶栨偅鑰�5鍊嬫湀鍓嶉倓鏇炬湁蹇冭倢姊楁鐥呭彶锛屾搰鏈熸墜琛�(sh霉)鎳�(y墨ng)鎺ㄩ伈鍒板績姊�6鍊嬫湀鍚庨€�(j矛n)琛�锛屽鐝�(xi脿n)鍦ㄥ嚭鐝�(xi脿n)瀹屽叏姊楅樆;鍙PTCD寮曟祦銆�

9[A3/A4鍨嬮]鐢锋€�锛�56姝�锛岄楠ㄧ槫鍒囬櫎琛�(sh霉)鍚庡寲鐧傝嚗搴�2鍛紝楂樼啽3鏃�锛孴38.5锝�39.2鈩�锛屽幁椋熷苟鍢斿悙锛屽翱灏戣壊娣�锛屽翱姣旈噸>1.030锛孊P 90/60mmHg锛屽嫊鑴堣姘ｇ祼(ji茅)鏋減H 7.29锛孭aO272mmHg锛孭aCO245mmHg锛岃閴€3.3mmol/L锛岃閳�143mmol/L锛孊E-7.5mmol/L,HCO3-17mmol/L銆�

鎳�(y墨ng)鐢ㄧ敓鐞嗛菇姘存不鐧傚鏄撳紩璧蜂互涓嬪摢涓€绋儏娉�

A.鎱㈡€ф按涓瘨

B.鎬ユ€ф按涓瘨

C.浣庨墍琛€鐧�

D.楂橀墍琛€鐧�

E.楂樻隘琛€鐧�

姝ｇ⒑绛旀:E

銆愬畼鏂硅В鏋愩€�

1.pH7.29,HCO17mmol/L銆�

2.琛€閴€3.3mmol/L銆�

3.鎮ｈ€呯偤鎬ユ€уけ姘�锛岃閳夋甯革紝鍢斿悙灏垮皯銆�

4.澶ч噺澶辨按鎳�(y墨ng)鐩″揩瑁滄恫锛屽緟灏块噺閬�(d谩)鍒�40ml鍚庤閴€銆�

5.鐢熺悊楣芥按姘洟瀛愭瘮琛€娓呮隘闆㈠瓙楂樸€�

10[A3/A4鍨嬮]鎮ｈ€�锛岀敺锛�35姝�銆傝厧绉绘琛�(sh霉)鍚�2鍛ㄥ嚭鐝�(xi脿n)鐧�(f膩)鐔�锛岀晱瀵掞紝鍏ㄨ韩涓嶉仼锛屽彸楂傜铏曡劰鐥�锛屽翱閲忔笡灏�锛岃鑲岄厫鍙婂翱绱犳爱鍗囬珮銆�

鐩墠棣栧厛鑰冩叜鐨勮ê鏂锋槸

A.鑲洪儴鎰熸煋

B.瓒呮€ユ€ф帓鐣板弽鎳�(y墨ng)

C.鍔犻€熸€ф帓鐣板弽鎳�(y墨ng)

D.鎬ユ€ф帓鐣板弽鎳�(y墨ng)

E.鎱㈡€ф帓鐣板弽鎳�(y墨ng)

姝ｇ⒑绛旀:D

11[A3/A4鍨嬮]鎮ｈ€呯敺锛�32姝诧紝椁愬悗杌婄鑷撮鐩嗛鎶橈紝鍙宠偂楠ㄥ共楠ㄦ姌1灏忔檪銆傛煡楂旓細楂旀韩38.9鈩�锛岃剤鎼�130娆�/鍒�锛屽懠鍚�20娆�/鍒�锛岃澹�50/20mmHg銆傝(sh霉)鍓嶆湭缃儍鑵告笡澹撶锛屾摤鎬ヨê琛岃偂楠ㄥ共楠ㄦ姌鍒囬枊寰�(f霉)浣嶅収(n猫i)鍥哄畾琛�(sh霉)銆�

琛�(sh霉)鍓嶉夯閱夋簴(zh菙n)鍌欏伐浣滀腑锛屼笅鍒楅尟瑾ょ殑鏄�

A.闈滆剤娉ㄥ皠鍝屾浛鍟�50mg姝㈢棝

B.闈滆剤娉ㄥ皠鐢叉哀姘櫘鑳�(婊呭悙闈�)10mg

C.缃叆鑳冪锛屽惛寮曡儍鍏�(n猫i)瀹圭墿

D.闈滆剤娉ㄥ皠瑗垮挭鏇夸竵20mg

E.蹇€熻娑�锛岃澹撳洖鍗囨檪鍗抽枊濮嬮夯閱夎獦灏�(d菐o)

姝ｇ⒑绛旀:A

12[A3/A4鍨嬮]鐢锋€�锛�37姝�銆傝吂鐥涳紝鑵硅劰5鍊嬫湀锛屼笉鑳介€�(j矛n)椋�2澶╁叆闄€€傛煡楂旓細涓婅吂閮ㄨ啫闅�锛屽鐥涖€傝吂閮–T妾㈡煡锛氫笂鑵归儴鍥婄媭鍖呭銆傝嚚搴婅ê鏂凤細鎬ユ€ц儼鑵虹値浼村亣鎬у泭鑵舰鎴愩€�

姣忓ぉ鑵稿収(n猫i)鐕熼(y菐ng)娑查仈(d谩)鍒板灏戜互鍚�锛屽彲浠ュ仠姝㈣吀澶栫嚐椁�(y菐ng)

A.50ml/h锛�24灏忔檪绺介噺澶т簬1000ml

B.100ml/h锛�24灏忔檪绺介噺澶т簬1500ml

C.100ml/h锛�24灏忔檪绺介噺澶т簬2000ml

D.150ml/h锛�24灏忔檪绺介噺澶т簬2500ml

E.150ml/h锛�24灏忔檪绺介噺澶т簬3000ml\

姝ｇ⒑绛旀:A

13[A3/A4鍨嬮]鐢锋€э紝68姝�銆傝嚚搴婅ê鏂疯儍绔囩檶銆傛棦寰€鏈夐珮琛€澹撶梾鍙�8骞�锛岄暦鏈熷彛鏈嶆姉楂樿澹撹棩銆傝(sh霉)鍓嶆脯琛€澹�170/100mmHg锛屽績鐜�84娆�/鍒�銆傚績闆诲湒锛氶浕杌稿乏鍋�锛屽績鑷熼爢閻樺悜杞�(zhu菐n)浣�銆俋绶氳兏鐗囷細蹇冭嚐澧炲ぇ銆傚湪闈滃惛寰�(f霉)鍚堥夯閱変笅琛岃儍绔囩檶鏍规不琛�(sh霉)锛岃獦灏�(d菐o)鍚庣暥(d膩ng)鐣版盁鐑锋績搴﹂仈(d谩)1.6MAC鏅�锛岃澹撻檷鑷�95/50mmHg锛屽績鐜囩偤118娆�/鍒�锛孍CG鍑虹従(xi脿n)澶氬€嬪鎬ф湡鍓嶆敹绺€�

姝ゆ檪鎳�(y墨ng)棣栧厛閲囧彇鐨勮檿鐞嗘帾鏂芥槸

A.绔嬪嵆鍔犲揩杓告恫锛屾摯(ku貌)鍏呰瀹归噺

B.闈滄敞楹婚粌鍫�30mg锛屽繀瑕佹檪閫ｇ簩(x霉)杩藉姞

C.绔嬪嵆闈滄淮澶氬反鑳�5锝�10μg/(kg·min)

D.闈滄敞2%鍒╁鍗″洜1锝�2mg/kg

E.鍏堟笡娣哄惛鍏ラ夯閱夛紝鍐嶈鎯呮硜绲︿簣鍗囧钘ュ拰鎶楀績寰嬪け甯歌棩\

姝ｇ⒑绛旀:E

14[A3/A4鍨嬮]鎮ｈ€�锛岀敺锛�25姝�锛岄珨閲�50kg銆傝吀姊楅樆5澶�銆備綇闄㈡檪铏涘急涔忓姏锛屽棞鐫�锛屽懠鍚告繁鑰屾參锛岃澹�80/60mmHg锛岃閳夛細132mmol/L锛岃閴€锛�4mmol/L銆�

濡傛寜鍠け琛€瀹归噺30%渚嗚▓绠�锛屽墖寰挵(hu谩n)澶辨恫閲忕磩鐐�

A.2000ml×30%

B.2500ml×30%

C.3000ml×30%

D.3500ml×30%

E.4000ml×30%

姝ｇ⒑绛旀:D

15[A3/A4鍨嬮]鎮ｈ€�锛岀敺鎬�锛�60姝�銆傝吂鐥�銆佸様鍚愩€佸仠姝㈡帓姘ｆ帓渚�銆傛煡楂旓細鑵硅劰銆傝吀槌撮煶浜㈤€�(j矛n)锛岀櫧绱�(x矛)鑳�12×109/L锛岃娓呴墍3.2mmol/L锛岃娓呴垑136mmol/L锛岃娓呮隘99mmol/L銆�

瑭叉偅鑰呭湪绯炬闆昏В璩�(zh矛)绱婁簜鏅傝淇濊瓑( )

A.灏块噺<5ml/h

B.灏块噺>5ml/h

C.灏块噺>10ml/h

D.灏块噺>20ml/h

E.灏块噺>40ml/h\

姝ｇ⒑绛旀:E

16[A3/A4鍨嬮]鐢锋€�锛�56姝�锛岃儗閮ㄤ竴鐧�3鍛ㄤ綑锛屽眬閮ㄧ櫏鐙€鏃ョ泭鍤�(y谩n)閲�锛�1鍛ㄥ墠銆傚嚭鐝�(xi脿n)瀵掓埌(zh脿n)锛屽紱寮甸珮鐔憋紝鍙宠噣閮ㄨ叓鐥涘苟鐧�(f膩)鐝�(xi脿n)涓€鑵銆傞珨婧�38锝�39鈩冿紝鑴堢巼90锝�100/min锛岀蹇楁竻锛屽彸鑷€閮ㄦ槑椤叓鑴�锛屽彲鎹強涓€5cm×5cm鍖呭锛屽鐥涙槑椤�锛屼技鏈夋悘鍕�銆�

娌荤檪鏂归潰锛屼笅鍒楀摢闋呮槸閷鐨�

A.澶у姂閲忔姉鐢熺礌鍏ㄨ韩鎳�(y墨ng)鐢�

B.灞€閮ㄦ姉鐢熺礌娌荤檪鐐轰富

C.鑶胯叓鍒囬枊寮曟祦

D.瑁滃厖鐔遍噺鍙婅泲鐧借唱(zh矛)

E.鍔犲挤骞跺瓨鐥呯殑娌荤檪锛屽绯栧翱鐥呯瓑

姝ｇ⒑绛旀:B

銆愬畼鏂硅В鏋愩€�

1.鑳岀櫚寮曡捣鑶胯鐧�锛岀窗(x矛)鑿岄毃琛€閬嬭綁(zhu菐n)绉诲紩璧疯噣閮ㄨ喛鑵�銆�2.鑶胯叓鏈夋尝鍕曟劅鏅傛不鐧備互鍒囬枊寮曟祦銆佸叏韬噳(y墨ng)鐢ㄦ姉鐢熺礌銆佸姞寮风嚐椁�(y菐ng)鏀寔鐐轰富銆�

17[A3/A4鍨嬮]鐢锋€э紝31姝�銆傞杌婄炕鍏ユ渤涓紝琚晳璧峰悗閫佺暥(d膩ng)?sh霉)涔渉閱�(y墨)闄�銆傚叆闄㈣ê鏂凤細鈶犲乏鑳�3銆�4銆�5銆�6鑲嬮楠ㄦ姌銆佽姘ｈ兏;鈶″乏鍓嶈噦灏烘﹫楠ㄩ鎶�;鈶㈠彸澶ц吙鑲￠涓�1/3楠ㄦ姌銆傜暥(d膩ng)鍗虫柦琛屽乏鑳歌厰闁夊紡寮曟祦銆佸昂姗堥鍙婅偂楠ㄥ垏闁嬪京(f霉)浣嶅収(n猫i)鍥哄畾琛�(sh霉)銆傝(sh霉)鍚庡绲傚乏鑳哥柤鐥涳紝鍛煎惛鍥伴洠銆備簬绗�3澶╄綁(zhu菐n)鍏ユ垜闄�銆傛鏌ワ細T37.0鈩�锛孭100娆�/鍒�锛孯24娆�/鍒�.BP120/60mmHg銆傞潰鑹茶捈鐧�锛屼笉鑳藉钩鑷ャ€傝兏鑵旈枆寮忓紩娴佺涓嶉€氭殺銆傚乏鑳稿懠鍚稿嫊搴︽槑椤笡寮憋紝鍙╄ê鍛堝闊�锛屽懠鍚搁煶椤憲闄嶄綆銆備笂鑵归儴杓曞鐥涖€�

褰卞儚瀛�(xu茅)妾㈡煡鐧�(f膩)鐝�(xi脿n)宸﹀伌(c猫)鑶堣倢鍗囬珮锛岃唸鑲屾按骞充笂鍑虹従(xi脿n)涓€灞€闄愭€ц啫闅嗚嚧瀵嗗奖锛屽収(n猫i)鏈夋恫骞筹紝姝ゆ檪瑷烘柗棣栧厛瑕佽€冩叜

A.闁夊悎鎬ф埃鑳�

B.鑲虹値浼磋偤涓嶅嫉

C.鑲鸿啫鑴逛笉鍏�

D.鑳歌吂鑱�(li谩n)鍚堝偡

E.鍙嶆噳(y墨ng)鎬ц兏鑵旂⿳娑�

姝ｇ⒑绛旀:D

銆愬畼鏂硅В鏋愩€�

1.瑭叉偅鑰呭湪绺ｉ啱(y墨)闄㈡€ユ晳鏅傜洝绠℃纰哄湴浣滃嚭琛€姘ｈ兏瑷烘柗锛屽強鏅傛柦琛屽乏鑳歌厰闁夊紡寮曟祦锛屼絾鏈仛X绶氳兏鐗囨鏌�銆傞洊鐒禖T銆丮RI绛夌従(xi脿n)浠ｈê鏂锋妧琛�(sh霉)姣擷绶氭敐鐗囪兘鏇村ソ鍦板弽鏄犵梾璁婄壒寰�锛屼絾浠嶄笉鑳藉畬鍏ㄥ彇浠绶氳兏鐗囧揩鎹�銆佸粔鍍�銆佹垚鍍忔竻鏅帮紝灏嶆瘮搴﹀強娓呮櫚搴﹀潎杓冨ソ锛屼究浜庡京(f霉)鏌ュ皪鐓х殑鍎�(y艒u)榛�锛屾晠鎳�(y墨ng)閬告搰B銆�3.瑭叉偅鑰呯稉(j墨ng)鑵规墜琛�(sh霉)鐨勭悊鐢辨槸锛氣憼鑳歌吂鑱�(li谩n)鍚堝偡甯稿悎骞堕渶瑕佽檿鐞嗙殑鑵硅厰鍏�(n猫i)鑷熸悕鍌�;鈶℃€ユ€ф湡閫�(j矛n)鍏ヨ兏鑵斿収(n猫i)鐨勮吂鑵旇嚐鍣ㄧ劇鏄庨’绮橀€�锛屾槗浜庨倓绱�;鈶㈡偅鑰呯洰鍓嶇劇闁嬭兏閬╂噳(y墨ng)璀�銆�

18[A3/A4鍨嬮]鐢凤紝46姝�銆傝鍊掑鐨勫⒒澹撲綇鑳歌吂閮�1灏忔檪锛岃ù鑳哥棝銆佸彛娓�銆佸翱灏戙€傛鏌ワ細绁炴竻锛岃剤鎼�120娆�/鍒�锛屽懠鍚稿洶闆�24娆�/鍒�锛岃澹�90/68mmHg銆傚彸涓嬭兏澹佹湁4cm鍌峰彛锛岃鑲鸿嚐娲诲嫊銆佹薄鐗╁銆傝吂灏氳粺锛屼笂鑵瑰鐥涖€佽紩搴﹀弽璺崇棝锛岀Щ鍕曟€ф縼闊�(+)锛屽洓鑲㈢劇鐗规畩銆傚翱鑹叉竻锛岃WBC1.4×109/L锛孒b90g/L銆�

涓昏鐨勮ê鏂锋槸

A.閲嶅害浼戝厠

B.鍙宠兏澹佹尗鍌�

C.宸﹁厧鎸偡

D.闁嬫斁鎬ф埃鑳�

E.寰�(f霉)鍚堟€ф悕鍌�

姝ｇ⒑绛旀:D

銆愬畼鏂硅В鏋愩€�

瑭叉偅鑰呮槸澶氱櫦(f膩)鍌�锛岄枊濮嬬梾鎯呭嵆寰堥噸銆傚叆闄㈡檪鑳搁儴鍌峰彛娣遍仈(d谩)鑳歌厰鍏�(n猫i)锛屽紩璧峰毚(y谩n)閲嶅懠鍚稿洶闆ｏ紝鍏朵富瑕佽ê鏂锋噳(y墨ng)鏄枊鏀炬€ф埃鑳�锛屽叾浠栧洓鍊嬭ê鏂峰緸椤屽共璩囨枡鍒嗘瀽灏氫笉瀛樺湪鎴栨槸閷鐨�锛屾晠椤�1鐨勭瓟妗堟槸D銆傚悓鏅傛噳(y墨ng)瑾槑瑭叉偅鑰呮槸閲嶅偡锛屽繀鐒跺紩璧蜂竴绯诲垪鐥呯悊璁婂寲锛屽叾涓鍏堣繀鍗崇櫦(f膩)鐢熺殑鎳�(y墨ng)鏄叏韬値鐧ュ弽鎳�(y墨ng)缍滃悎寰侊紝鑰岄吀鍫垮钩琛″け瑾�(di脿o)銆佸鍣ㄥ畼鍔熻兘闅滅闇€缍�(j墨ng)涓€瀹氭檪闁�銆佸偡鎯呯櫦(f膩)灞曞悗鎵嶇櫦(f膩)鐢燂紝鏁呴2鐨勭瓟妗堟槸A銆�

19[A3/A4鍨嬮]鐢锋€�锛�42姝�銆備笂鑵归儴鑴圭棝锛岄娆茬己涔忎即榧诲嚭琛€2鍊嬫湀锛屽姞閲�3澶╁叆闄�銆傝嚚搴婅ê鏂烽杸鑴堟€ц倽纭寲銆傛柦琛岃劸鍒囬櫎銆侀杸濂囨柗娴佽(sh霉)鍔犲菇闁€鎴愬舰琛�(sh霉)銆傝(sh霉)鍚庣簿绁炲樊锛屽棞鐫�锛屾寔绾�(x霉)楂樼啽锛岄珨婧�39.0鈩冦€傝吂鑵斿紩娴侀噺24灏忔檪1000ml浠ヤ笂銆傝(sh霉)鍚庣6澶╅€�(j矛n)鍏ユ槒杩�锛屽懠鍚告湁"鐖涜構鏋滃懗"锛屽叏韬毊鑶�銆侀粡鑶滄湁鍑鸿榛炲強鍑鸿鏂戯紝灏块噺24灏忔檪<400ml銆�

琛�(sh霉)鍚庡嚭鐝�(xi脿n)骞剁櫦(f膩)鐧ョ殑涓昏鍘熷洜鏄�

A.鎮ｆ湁鑲濈梾

B.鎵嬭(sh霉)鍓�(chu脿ng)鍌峰洜绱�

C.鎰熸煋

D.杓稿叆杓冨搴瓨琛€

E.缍滃悎鍥犵礌鐨勭祼(ji茅)鏋�

姝ｇ⒑绛旀:E

20[A3/A4鍨嬮]鐢锋€�锛�58姝�銆傚弽寰�(f霉)鑵硅劰銆佽吂鐥�3鍊嬫湀锛屽姞閲�15澶�锛岄珨閲嶈純鐥呭墠涓嬮檷15kg銆傛煡楂旓細娑堢槮锛岃钵琛€璨�銆備笂鑵归儴澹撶棝锛岃紩搴﹁倢绶婂嫉锛岀劇鍙嶈烦鐥�锛岃吀槌撮煶寮�銆傚椹楀妾㈡煡锛氱櫧铔嬬櫧20g/L锛孒b 68g/L銆傚ぇ渚垮父瑕�(gu墨)锛氶毐琛€瑭﹂(+)銆�

缍�(j墨ng)妾㈡煡锛岃嚚搴婅ê鏂风偤鍗囩祼(ji茅)鑵哥檶骞舵參鎬ц吀姊楅樆锛岃(sh霉)鍓嶇殑鐕熼(y菐ng)鏀寔瀹滈伕鎿囦笅鍒楀摢绋€斿緫

A.鍙ｆ湇閫斿緫

B.榧昏儍绠￠€斿緫

C.榧荤┖鑵哥閫斿緫

D.绌鸿吀閫犲彛閫斿緫

E.鑵稿鐕熼(y菐ng)閫斿緫

姝ｇ⒑绛旀:E

銆愬畼鏂硅В鏋愩€�

琛€婕跨櫧铔嬬櫧姝ｅ父姘村钩鐐�35g/L銆�28锝�34g/L鐐鸿紩搴︾嚐椁�(y菐ng)涓嶈壇;21锝�27g/L涓害鐕熼(y菐ng)涓嶈壇;灏忎簬21g/L鐐洪噸搴︾嚐椁�(y菐ng)涓嶈壇銆�

21[妗堜緥鍒嗘瀽椤宂鐢�锛�38姝�锛屼箻杌婃檪宸﹁吙鎼湪鍙宠吙涓�锛岀獊鐒剁櫦(f膩)鐢熻粖绂�锛屽乏鑶濇矕鎾炲湪鍓嶅骇妞呰儗涓�锛屽嵆鎰熷乏楂栫柤鐥�锛屼笉鏁㈡椿鍕曪紝鏌ラ珨锛氬乏涓嬭偄绺煭锛屽乏楂栭棞(gu膩n)绡€(ji茅)鍛堝眻鏇�銆佸収(n猫i)鏀躲€佸収(n猫i)鏃嬬暩褰�锛屽偡鍚�3h鍏ラ櫌銆�

鏈€鍙兘鐨勮ê鏂锋槸

A.鑲￠闋搁鎶�

B.鑲￠杞�(zhu菐n)瀛愰枔楠ㄦ姌

C.楂栭棞(gu膩n)绡€(ji茅)鍓嶈劔浣�

D.楂栭棞(gu膩n)绡€(ji茅)鍚庤劔浣�

E.楠ㄧ泦楠ㄦ姌

F.楂栬嚰楠ㄦ姌

G.鑲￠骞查鎶�

姝ｇ⒑绛旀:D

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2.鏈鑰冩煡鐨勯噸榛炴槸鏈夐棞(gu膩n)楂栭棞(gu膩n)绡€(ji茅)鑴綅铏曠悊鐨勭煡璀�锛屾嚪鐤戞湁楂栭棞(gu膩n)绡€(ji茅)鑴綅鏅傛噳(y墨ng)瑭查€�(j矛n)琛孹绶氭鏌ワ紝涔熷彲閫�(j矛n)琛孋T妾㈡煡浜嗚В闂�(gu膩n)绡€(ji茅)鍏�(n猫i)鏈夌劇楠ㄦ姌銆�3.鏈鑰冩煡鐨勯噸榛炴槸鏈夐棞(gu膩n)楂栭棞(gu膩n)绡€(ji茅)鑴綅娌荤檪鐨勭煡璀橈紝鎵嬫硶寰�(f霉)浣�锛屾寔绾�(x霉)鐨壗寮曟垨绌夸竵瀛楅瀷2锝�3鍛紝涓嶅繀鐭宠啅鍥哄畾銆傛墜娉曞京(f霉)浣嶅洶闆ｇ殑鎮ｈ€�锛屽彲鍒囬枊寰�(f霉)浣�锛岄鍦撻嚌鍏�(n猫i)鍥哄畾銆�4.鏈鑰冩煡鐨勯噸榛炴槸鏈夐棞(gu膩n)楂栭棞(gu膩n)绡€(ji茅)鑴綅娌荤檪鐨勭煡璀�锛屽皪浜庝笉瀹屽叏鐨勫潗楠ㄧ缍�(j墨ng)鎼嶅偡鍙噳(y墨ng)鐢ㄧ缍�(j墨ng)鐕熼(y菐ng)钘ョ墿锛屽苟瑙€瀵�2锝�3鍊嬫湀锛屽鐒℃仮寰�(f霉)鍓囬€�(j矛n)琛屾墜琛�(sh霉)鎺㈡煡锛岃瀵熸湡闁撴噳(y墨ng)閫�(j矛n)琛屽姛鑳介崨鐓�锛岄槻姝㈣倢鑲夎悗绺�銆�

22[妗堜緥鍒嗘瀽椤宂鎮ｈ€呯敺锛�24姝诧紝楂旀搷閬嬪嫊鍝�銆傚洜閫�(j矛n)琛岄珨鎿嶈〒(x霉n)绶存檪绐佺劧鑱藉埌“鍟�”鐨勯熆鑱�锛岄毃鍗虫劅鍒板彸鍋�(c猫)璺熻叡铏曞妵鐑堢柤鐥�1 h鍏ラ櫌銆�

瑕佹兂纰鸿ê鎳�(y墨ng)閫�(j矛n)琛岀殑妾㈡煡鏄�(鎻愮ず銆€瑭叉偅鑰呰嚚搴婅〃鐝�(xi脿n)涓嶅吀鍨�銆�)

A.X绶�

B.CT

C.B鍨嬭秴鑱�

D.MRI

E.ECT

F.鎵嬭(sh霉)鎺㈡煡

姝ｇ⒑绛旀:D

23[妗堜緥鍒嗘瀽椤宂鐢�锛�35姝诧紝杌婄鑷撮鐩嗘悕鍌峰叆闄�銆傛煡楂旂櫦(f膩)鐝�(xi脿n)琛€澹�85/40mmHg锛岃剤鎼�120/min锛岀蹇楁竻妤�锛屽懠鍚告€ヤ績锛岄潰鑹茶捈鐧�锛岀叐韬佷笉瀹�锛岃€冩叜鎮ｈ€呭嚭鐝�(xi脿n)澶辫鎬т紤鍏�銆�

鑻ヨê鏂风偤楠ㄧ泦楠ㄦ姌鍚堝苟灏块亾鎼嶅偡銆佸け琛€鎬т紤鍏�锛屾纰虹殑铏曠悊闋嗗簭鏄�

A.楠ㄧ泦楠ㄦ姌-浼戝厠-灏块亾鎼嶅偡

B.浼戝厠-灏块亾鎼嶅偡-楠ㄧ泦楠ㄦ姌

C.浼戝厠-楠ㄧ泦楠ㄦ姌-灏块亾鎼嶅偡

D.灏块亾鎼嶅偡-浼戝厠-楠ㄧ泦楠ㄦ姌

E.楠ㄧ泦楠ㄦ姌-灏块亾鎼嶅偡-浼戝厠

F.灏块亾鎼嶅偡-楠ㄧ泦楠ㄦ姌-浼戝厠

姝ｇ⒑绛旀:B

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