题目内容

男性,23岁,半小时前从4m高处摔下,出现左侧胸部疼痛伴发呼吸困难。神清合作、轻度发绀,左前胸壁lOcmXlOcm皮下淤血,胸壁浮动,可触及骨摩擦,两肺未闻及湿哕音,胸片提示左4、5、6肋骨分别可见两处骨折,肋膈角稍钝。
此时患者呼吸困难的主要原因中,哪一项是错误的

A. 二氧化碳潴留、缺氧
B. 静脉血回心障碍
C. 胸壁软化
D. 纵隔扑动
E. 精神过度紧张

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烧伤后第9天,体温39.8℃ ,心率148次/分,呼吸36次/分,创面潮湿,焦痂下积脓,感染向邻近健康组织侵袭,血培养阴性。
最可能的原因是

A. 由于大剂量抗生素使用出现假阴性
B. 烧伤后脓毒症
C. 培养条件不宜细菌生长
D. 烧伤败血症合并脓毒症
E. 脓毒血症

关于股骨颈骨折,下列哪项是错误的

A. 外展嵌插型骨折虽属稳定骨折,但也会移位,变为不稳定骨折
B. 头下型骨折容易发生缺血性坏死
C. 基底型骨折相对容易愈合
D. 儿童股骨颈骨折不易发生缺血坏死
E. 股骨颈骨折愈合数年之后,还会发生缺血坏死

判断肝硬化肝细胞功能最有用的指标是

A. 血清胆固醇
B. 血清ALP
C. 血清转肽酶
D. 血清白蛋白及凝血酶原时间
E. LDH

Scientists now tend to agree that the noise level for potential hearing loss begins at about 70 decibels. Some of them are very concerned because normal daily life often exposes people to noise levels of about 70 decibels even inside their homes. Cities have always been noisy, but noise is now spreading to areas that were quiet just a few years ago. Clearly, something must be done or noise will seriously and permanently maim the population. Fortunately, the knowledge and methods to control noise already exist. As a matter of fact, this is one instance where the knowledge of control methods exceeds the knowledge about the effects on human life and on the environment. There are two common means for control. The first is reducing noise at its source, and the second is changing the sound path by distance or by shielding. The second approach is being used more often today as people become more aware of the danger of noise. New building codes require better sound insulation in homes and apartments. More and more towns are passing zoning ordinances that try to segregate noisy factories or airports from residential areas. Sound-absorbent materials and construction designed to block sound paths are slowly coming into use in offices and homes. New highways are being built to redirect traffic noise up and away from nearby areas. Aircraft are increasingly being required to use reduced-power flights around airports. There are many examples of available noise control methods that are not being used. More flexible building codes would permits the use of quieter kinds of plumbing pipes. Sound-absorbent materials can reduce the noise of motors and engines. Power generators can be quieted with baffles, exhaust silencers, and sound absorbers. Truck tires can be made with quieter treads. In many cases, the most of building quieter machines is the same or only slightly higher than that of the current noisy ones. Even though the new jumbo jets, for example, are quieter than the older ones, yet they are more powerful and carry twice as many passengers. All of these methods are only partial measures as noisy levels continue to rise. Most specialists in the field agree that much of the solution must come from eliminating some of the noise at its source, therefore saving through prevention the large costs of hearing loss.
The noise level for possible hearing loss begins at about______.

A. 30 decibels
B. 70 decibels
C. 100 decibels
D. none of the above

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