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患者,男性,65岁,农民,高血压病9年,长期不规则服用降压药,平时常觉胸闷、气短,无咳嗽咳痰。近2个月来胸痛反复发作,休息后好转,1周来发作频繁,来院就诊。查体:T36.5℃,HR89次/分,BP168/88mmHg,口唇发绀,听诊双肺呼吸音清、对称,心律齐、无杂音。动态心电图示:①窦性心律,ST-T缺血性改变;②Ⅱ度房室传导阻滞(活动时出现);③偶发房性早搏;④偶发室性早搏。血总胆固醇6.78mmol/L(正常值5.20~5.66mmol/L),甘油三酯2.7mmol/L(正常值0.56~1.7mmol/L);余无殊。根据上述检查结果,该患者应做下列哪些术前治疗和处理?()

A. β受体阻滞药
B. 钙通道阻滞药
C. 抗生素
D. 硝酸酯类
E. 小剂量激素的应用提高术中应激
F. 安置临时起搏器
G. 术前足量镇静药,减轻患者的焦虑恐惧心理
H. 术前足量输液预防脱水

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某患者,女性,76岁。在做完心脏搭桥手术后,准备长期服用华法林抗凝治疗。医师告知该患者,很多药物和食物均可影响华法林的抗凝效果,所以需要定期监测INR值。下列药物中,可使华法林抗凝作用减弱的是()

A. 甲硝唑
B. 保泰松
C. 西咪替丁
D. 苯妥英钠
E. 阿司匹林

阅读文章,回答题:A lot ofpeople don’t want to talk about their age,especially(尤其是)womenover 30.The thought of grow—ing older is a painful(痛苦的)one and most of US,ifpossible,would like to have nothing to do with it.However,getting older is a thing that happens to all of US.As a result,many people work hard to keep young.So the lastthing they want is for someone to askthe question,“How old are you?”Peoplemay answer this question like:“How old do you think I am?”“30 something.I’min my thirties.Let’s just leave it at that.…‘I can’t remember.…Oh,don’t ask me that.…“A lot older than what lwould like tobe.”However,if you really want to knowsomeone’s age,this is how you could find out the answer.First you estimate(估计)their age.Then you subtract(减去)ten years from thatestimation.Certainly you will get a big smilefrom thatperson who will also say.“Wow.Youare my best friend.I’m 38 already.Can you believe it?”You,ofCOUrSe,,say,“N0.I reallyCall’t.You’re,joking.You don’tlook a day over 28.”Most of men are pleased totell others how old they are.

A. Right.
B. Wrong.
C. Doesn’t Say.

列车须按有关规定编定车次。上行列车编为双数,下行列车编为单数。在个别区间,使用直通车次时,可与规定方向不符。

A. 正确
B. 错误

刘某,女,17岁,学生。不规则发热10余天,体温38.5~39.8℃,无畏寒、寒战,有食欲不振、腹胀、便秘,近2天出现精神恍惚、谵妄、听力下降。入院前曾不规则用过青霉素、头孢菌素等治疗。身体评估:体温39.8℃,脉搏104次/分,血压95/70mmHg。表情呆滞,心肺正常,腹软,右下腹轻压痛,肝肋下0.5cm,脾肋下1cm。血常规:白细胞4.1×10/L,中性粒细胞66%,淋巴细胞34%。为明确诊断,需进一步做的检查是()

A. 血培养
B. 骨髓培养
C. 肥达反应
D. 尿培养
E. 粪便培养

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