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泰医专升本真题2009

泰医专升本真题2009
泰医专升本真题2009

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1,早期胃癌是指癌变局限而深度不超过粘膜下层的胃癌。

2,肝肾综合症,是在长期肝硬化出现大量腹水时由于有效循环血容量不足,及肾内血流重新分布等因素,可发生此病

3,高血压现象,是以血压升高为主要临床表现的综合症,其定义为收缩压大于等于140毫米汞柱和(或)舒张压大于等于90毫米汞柱、

4,HORNER综合症,位于肺尖部的肺癌课压迫颈部交感神经,引起病侧眼睑下垂,瞳孔缩小,眼球内陷,同侧额部和胸壁无汗或少汗。也常有肿瘤压迫臂丛神经造成以腋下为主,向上肢内陷放射的火灼样疼痛。

问答题:

1,慢性白血病发病缓慢,早期可无任何表现,部分病人因脾大或白细胞增多在体检中发现,各年龄段都可以发病,20-50岁居多。症状课有脾大,全身症状,乏力,低热,多汗盗汗,可有胸骨压痛等。血象为白细胞显著增多,骨髓象极度活跃,粒细胞为主。

类白血病病因多为严重感染和恶性肿瘤,临床表现随原发病各有特点,白细胞增高但很少超过50*109每升。外周血和骨髓粒细胞形态正常,胞浆中常有中毒颗粒和空泡。原发病控制后类白血病反应也随之消失

内科填空题

1,呼吸困难可分为吸气性,呼气性和混合性三种

2,肺癌课分为非小细胞癌和小细胞癌

3,输液时出现疾病首先考虑肺水肿,左心衰。

4,急性心肌梗死的心电图表现为ST段弓背向上抬高,宽而深大的病理性Q波。T 波倒置。

5,急性白血病的临床表现为贫血,出血,感染和浸润。

6,远端肾小管功能的判定主要看管型尿,尿量,蛋白尿。

7,糖尿病的三多一少,多饮,多食,多尿和体重减轻。

内科综合题,哮喘的此时并发症可有气胸,纵隔气肿,肺气肿,肺心病,

体检可有通气功能检测,FEV1/FEVC下降,发作时呼气峰值流速下降,双肺听诊布满啸名音,呼气相延长,严重者可出现心率加快,奇脉,胸廓反常运动。

处理,急性期发作期

轻度吸入糖皮质激素,中度吸入B2受体激动剂或者是抗胆碱药,重度持续雾化吸入B2受体激动剂或静脉滴注氨茶碱或者沙丁胺醇。

外科

名词解释 1 休克 ----是有效循环血量减少 -组织灌注不足所导致的细胞缺氧;代谢紊乱和功能受损的一种综合病症 QQ 54744669 601992143 https://www.doczj.com/doc/ec6023461.html,

2 外科感染一般是指需手术治疗的感染性疾病和发生在创伤,手术,介入性治疗操作后并发的感染

3 移植术是指将某一个体的有活力的细胞,组织,器官及移植物用手书或者其他的方法移到自体或另一体的体表上或者t-体内一部位使之能继续发挥原有功能QQ 54744669 601992143 https://www.doczj.com/doc/ec6023461.html,

4急性呼吸鍕迫综合症是有严重感染。创伤。烧伤及重症胰腺炎等疾病诱发,以特点,功能残气量减少,肺顺应性降低肺内水流增加为病例生理t特点以广泛肺不张和肺透明膜形成的病理特点

问答题

骨折愈合标准

答 1局部无压痛及纵轴叩击痛 2 局部无反常活动 3 X线显示骨折线模糊,l有连续骨架通过骨折线 4 解除外固定后伤芝能满足以下要求上肢上前平举1KG重量达1分钟下肢不扶拐,在平地连续步行3分钟不少于30步。5连续观察2周不变形

外问答2 诊断:肝硬化下腔静脉岀血依据:1 肝硬化病史 2消化道岀血 3 低血压4心肺正常 5全腹压痛治疗:1 针对食管胃底静脉岀血2紧急处理维持血容量三腔两囊管应用止血药物内窥镜治疗经颈静脉肝内门提分流术紧急手术

交界性肿瘤:介于良性和恶性肿瘤之间的肿瘤

填空:1机械除菌法灭菌法抗菌法 2 进食吞咽困难异物感剑突下疼痛3 血容量不足心功能不全 4.腹股沟管直疝三角股管脐环 5 术后复发性溃疡急性穿孔瘢痕性幽门梗阻6 转移性右下腹疼痛右下腹固定的压痛点7 血运转移

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