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大学英语六级试卷和答案-研究生进展课考试卷

大学英语六级试卷和答案-研究生进展课考试卷
大学英语六级试卷和答案-研究生进展课考试卷

研究生进展课考试卷

姓名得分

一、选择题:(20分)

1. 老年,男性,诊断慢性支气管炎20年,慢性阻塞性肺气肿已2年,1小时前,呼吸困难突然加重,剧烈胸痛,紫绀,大汗,胸部叩诊为鼓音,听诊呼吸音消失,本病应诊断:( B )

A、慢性支气管炎急性发作

B、肺气肿病发自发性气胸

C、慢性肺原性心脏病心肺功能失代偿

D、中毒性肺炎

E、以上均不是

2. 通气/血流比例是指每分钟肺泡通气量与每分钟肺毛细血管总血流量之比,正常成年人安静时约为( B )

A. 0.5

B. 0.8 C .0.9 D. 1.0

3. 对开放性气胸的紧急处理应是:( C )

A、开胸止血取异物

B、输血补液抗休克

C、封闭伤口、放置闭式引流管

D、大量应用抗生素

E、有效给氧

4.下述哪项情况不宜作气管切开:(D)

A、喉头水肿的呼吸困难

B、急性喉炎的呼吸困难

C、颅脑损伤后的呼吸困难

D、张力性气胸的呼吸困难

E、呼吸道烧伤的呼吸困难

5. 胸腔积液穿刺抽液时,应注意:( ABCE )(此题为多选题)

A、每次抽液不宜超过1000ml

B、反复抽液尽可能将水抽完

C、液量大时每周可抽2-3次,至抽不出为止

D、抽水愈少愈安全

E、发生胸膜反应,立即停止抽液

二.名词解释(20分)

1. 反常呼吸运动

2.Pancoast肿瘤

三.问答题

1.进行性血胸的手术指征是什么?(15分)

2.试述食道手术后引起吻合口瘘并发症的临床表现、预防措施及处理原则。(20分)

3.临床病例分析题:(25分)

男性,27岁,10分钟前左上胸部被汽车撞伤,既往体健,无特殊。查体:Bp 80/50mmHg,脉搏148次/分,R 40次/分。神清合作,痛苦状,呼吸急促,吸氧下呼吸紧迫反而加重,伴口唇青紫,颈静脉怒张不明显。气管移向右侧。左胸廓饱满,呼吸运动较右胸弱。左胸壁有骨擦音(第4,5,6肋)局部压痛明显。皮下气肿。上自颈部、胸部直至上腹部均可触及皮下气肿。左胸叩鼓,呼吸音消失,未闻及罗音,右肺呼吸者较粗,未闻及罗音。左心界叩诊不清,心律整,心率148次/分,心音较弱,未闻及杂音。腹部平软,无压痛肌紧张,肠鸣音正常,肝脾未及,下肢无浮肿,四肢活动正常,未引出病理反射。

请问(1)诊断及诊断依据。

(2)进一步检查及治疗原则

英文翻译

Lobectomy is generally accepted as a standard surgical procedure for lung cancer, and V A TS lobectomy is applied for lung cancer, especially for cases with early lung cancer. Several studies have documented reduced pain severity after V ATS lobectomy than after open lobectomy . The pulmonary functions and immune functions in the early postoperative period also appear to be better preserved in the cases undergoing V ATS lobectomy . However, the most critical parameters in the evaluation of the feasibility of V ATS lobectomy for lung cancer would be the long-term outcomes. The 5-year time point is generally accepted as a landmark for evaluation of the outcomes after resection.

肺叶被普遍接受的标准为肺癌手术,VATS肺叶切除术,适用于肺癌,尤其是早期肺癌病例。一些研究已经证明比开放式肺叶切除后VATS肺叶切除后疼痛程度降低。在术后早期肺功能和免疫功能也出现在接受VATS肺叶切除术的情况下得到更好的保存。然而,最关键的参数在肺癌VATS肺叶切除术的可行性评估

是长期的结果。5年的时间点被普遍接受切除后的成果进行评估的一个里程碑

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2006年06月大学英语六级真题

2006年06月大学英语六级真题 一、Writing (本大题1小题.每题15.0分,共15.0分。 For this part, you are allowed thirty minutes to write a composition . You should write at least 100 words, and base your composition on the outline (given in Chinese) below: ) 第1题 Number of people in City X traveling abroad in 1995, 2000 and 2005 1.近十年来X市有越来越多的人选择出境旅游 2.出现这种现象的原因 3.这种现象可能产生的影响 Traveling Abroad 【正确答案】: [参考范文] Traveling Abroad The diagram shows the numbers of people in City X traveling abroad in 1995, 2000 and 2005. As indicated in the table, in 1995, about 10,000 people in the city went sightseeing abroad. Five years later, in the year of 2000, the number increased greatly to 40,000. Another five years later, in 2005, the number dramatically tripled, reaching a surprising peak of more than 120,000. We can see clearly more and more people traveling abroad in the last ten years. One reason for this drastic increase can be attributed to the booming of Chinese economy in these years, which has significantly raised the income of the people. With more savings in their bank accounts, people no longer regard traveling abroad as a luxury which they could hardly afford before. This may also be due to the rapid development in the social culture in China, which have greatly broaded the horizons of the Chinese people and have made them more interested in the outside world. Indeed, few people now can resist the temptation of the sunlight in Thailand, the mysteries in Egypt and the beaches in Australia.

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