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255);">有問必答>></span></a> </td> <td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/OtherItem/baomingpingce/index2.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">報考測評>></span></a> </td> </tr> </tbody> </table> <p></p> </span> </div>  <div id="ptdl9hb" class="news_con"> <div id="dppldhj" class="jxbox clearfix"> <p style="text-align: left;">急性肺損傷與急性呼吸窘迫綜合A3/A4型題（<a href="http://thedailypurge.net/linchuangyishi/" target="_blank" title="臨床醫(yī)師" class="hotLink">臨床醫(yī)師</a>?？迹?，醫(yī)學教育網(wǎng)為廣大2022年<a href="http://thedailypurge.net/linchuangyishi/" target="_blank" title="臨床執(zhí)業(yè)醫(yī)師" class="hotLink">臨床執(zhí)業(yè)醫(yī)師</a>考生設(shè)置了在線?？枷到y(tǒng)一套卷，四個單元共計600道題，下面是<a href="http://thedailypurge.net/linchuangyishi/" target="_blank" title="臨床執(zhí)業(yè)醫(yī)師" class="hotLink">臨床執(zhí)業(yè)醫(yī)師</a>第二單元?？碱}摘選，大家也可在線查看，<a target="_blank">點擊立即參與測評>></a></p><p style="text-align: left;"><strong>第二單元：</strong><a href="/linchuangyishi/moniti/su2204147061.shtml" articlerela="5029644" target="_blank">2022年臨床執(zhí)業(yè)醫(yī)師在線模考第二單元?？荚囶}（150道）</a></p><section data-id="1926" style="white-space: normal;"><section style="margin-top: 2em; padding: 0.5em 0px; border-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: inherit; text-decoration: inherit; color: rgb(166, 166, 166); background-color: rgb(255, 255, 255);"><section style="margin-top: -1.8em; text-align: center; padding: 0px; border: none; line-height: 1.4;"><section style="padding: 5px 14px; border-radius: 4px; color: rgb(255, 255, 255); font-weight: inherit; text-decoration: inherit; display: inline-block; background-color: rgb(183, 184, 184); border-color: rgb(183, 184, 184);"><section>第二單元</section></section></section><section style="padding: 16px; color: rgb(32, 32, 32); line-height: 1.4;"><p style="text-align: left;">105、男，40歲。1小時前游泳時溺水送來急診。查體：P 120次/分，R 34次/分，BP 90/60mmHg,神志尚清，煩躁不安，口唇發(fā)紺，兩肺可聞及廣泛濕性啰音，動脈血氣分析（FiO<sub>2</sub>=50%）；pH 7.52，PaCO<sub>2 </sub>30mmHg，PaO<sub>2</sub> 60mmHg。</p><p style="text-align: left;">1、該患者出現(xiàn)嚴重呼吸衰竭最主要的原因是</p><p style="text-align: left;">A、肺泡通氣量下降</p><p style="text-align: left;">B、彌散功能障礙</p><p style="text-align: left;">C、呼吸中樞活動減弱</p><p style="text-align: left;">D、肺內(nèi)分流顯著增加</p><p style="text-align: left;">E、通氣/血流比例失調(diào)</p><p style="text-align: left;">正確答案：D</p><p style="text-align: left;">答案解析：急性胰腺炎、<a href="http://thedailypurge.net/jibing/shaoshang/" target="_blank" title="燒傷" class="hotLink">燒傷</a>、溺水、重大<a href="http://thedailypurge.net/jibing/guzhe/" target="_blank" title="骨折" class="hotLink">骨折</a>導致的呼吸困難易導致急性呼吸窘迫綜合征（ARDS）。ARDS發(fā)生的主要機制是肺內(nèi)分流顯著增加（D對），故本題選D。</p><p style="text-align: left;">關(guān)聯(lián)考點：<span style="font-weight: inherit; text-decoration-line: inherit;">急性肺損傷與急性呼吸窘迫綜合</span></p><p style="text-align: left;">2、為改善其呼吸衰竭，應(yīng)首選的措施是</p><p style="text-align: left;">A、靜脈滴注呼吸興奮劑</p><p style="text-align: left;">B、純氧面罩吸氧</p><p style="text-align: left;">C、無創(chuàng)通氣</p><p style="text-align: left;">D、快速利尿</p><p style="text-align: left;">E、靜脈滴注糖皮質(zhì)激素</p><p style="text-align: left;">正確答案：C</p><p style="text-align: left;">答案解析：ARDS患者首選的措施是無創(chuàng)正壓通氣（NIPPV），故本題選C。</p><p style="text-align: left;">關(guān)聯(lián)考點：<span style="font-weight: inherit; text-decoration-line: inherit;">急性肺損傷與急性呼吸窘迫綜合</span></p></section></section></section><section data-id="1916" style="white-space: normal;"><section style="margin: 10px 0px;"></section></section><section style="white-space: normal; color: rgb(51, 51, 51); text-align: center; display: inline-block;"><section style="letter-spacing: 1.5px; line-height: 35px;"></section></section><section data-id="1916" style="white-space: normal;"><section style="margin: 10px 0px;"><span style="color: rgb(255, 255, 255);"><strong style="color: inherit;"><span 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