患者女性,35岁,重症肌无力病史7年,在内科长期口服抗胆碱酯酶药治疗,肌无力症状时轻时重。近来感觉呼吸日渐费力,经CT检查发现胸腺瘤,经讨论后拟手术切除胸腺瘤。提示:患者顺利插入气管导管,术中吸入七氟烷、静脉输注瑞芬太尼、丙泊酚维持全麻。患者取胸骨正中切口,手术操作近1小时后,麻醉医师发现患者气道压力逐渐增高,脉搏血氧饱和度逐渐下降。提问:气道压增高、脉搏血氧饱和度降低的可能原因有哪些?()
A. 手术操作压迫气管、支气管
B. 气管导管位置移动
C. 气胸
D. 肌无力危象
E. 气管导管被痰液堵塞
F. 喉痉挛
查看答案
下列维生素D中活性最强的是()
A. 维生素D2
B. 维生素D3
C. 25-(OH)D
D. 1,25-(OH)2D
E. 24,25-(OH)2
徐某,男,75岁,白天举办父亲百岁寿宴,酒席上招呼亲朋好友喝了3两白酒和半瓶葡萄酒。夜里出现胃不适,咳血性痰2次。因夜间光线较暗,以为痰液中的颜色是葡萄酒的原因并未在意。次日再次出现咳血性痰,胃部隐痛,吃了几片胃药(有胃炎病史多年,家里常备胃药),并电话咨询在医院的朋友后建议胃镜检查。结果报告胃贲门部癌,子女立即安排其住院手术(告知患者胃溃疡),术中一切顺利。因术后切口感染,创口一直无法愈合,转到创伤科治疗,半年后才痊愈出院。经过长时间的住院折腾,患者也慢慢了解自己的病情,性情变得沉默、少言、敏感,生活比较消极。社区护士对徐某提供的预防保健服务,最符合()
A. 老年人保健
B. 慢性病管理
C. 常见病的防治
D. 健康教育
E. 慢性病监测
You work as a network Exchange administrator at Company.com.The Company.com network currently consists of a single Active Directory forest containing a single domain named Company.com.The Company.com organization makes use of Microsoft Exchange Server 2010 as their messaging solution.Company.com has recently added a distribution group named KingDistribute.During the course of the business week you receive instruction from Company.com to ensure that a user named Rory Allen is able to view and approve the messages sent to KingDistribute whilst ensuring you prevent Rory Allen from modifying the membership of KingDistribute.What should you do?()
A. You should consider having the Message Tracking management role assigned to Rory Allen.
B. You should consider having Rory Allen added to KingDistribute and create a new journal rule.
C. You should consider having Rory Allen added to KingDistribute’s Managed by list.
D. You should consider having Rory Allen assigned as a group moderator for KingDistribute.