题目内容

患者男,67岁,既往有原发性高血压史30年。因“持续性胸骨后疼痛1h”急诊入院。1h前患者午睡后出现胸骨后持续性刀割样疼痛,伴濒死感及大汗淋漓,含服速效救心丸10粒无缓解,“120”送入急诊抢救室。查体:T35.8℃,P108次/min,R21次/min,Bp120/90mmHg。心电图提示急性广泛前壁心肌梗死。在安放鼻导管吸氧的过程中突然出现面色发绀,抽搐,呼之不应,呼吸断续呈叹息样,双瞳孔直径约5mm,对光反射消失,颈动脉搏动消失。下一步的处理有()(提示:患者经过CPR抢救约10min后,自主循环恢复,仍处于昏迷状态,频繁抽搐,自主呼吸浅促,Bp75/40mmHg。心电监护显示窦性心动过速,频发多源室性期前收缩,有时室性期前收缩成对出现;血气分析示:PaO255mmHg,PaCO225mmHg,FiO250%。)

A. 使用血管活性药物,适当补液、扩容以维持血压,改善重要脏器循环灌注
B. 使用抗惊厥药物控制抽搐
C. 使用胺碘酮等纠正心律失常
D. 纠正电解质和酸碱平衡紊乱
E. 使用抗生素防止继发感染
F. 根据血气分析结果调整呼吸机参数

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A. This can be achieved by forcing a replication between the domain controllers.
B. This can be achieved by recreating Research as a dynamic distribution group.
C. This can be achieved by changing the expansion server for the Research group.
D. This can be achieved by restarting the MSExchangeTransport Service.

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两个基因在染色体离得越远,重组频率越高。

A. 正确
B. 错误

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