试题与答案

患者,男性,59岁。低热、咳嗽近1个月,痰少,白色黏痰,偶有黄痰,伴胸闷。1天来出现

题型:单项选择题 A3/A4型题

题目:

患者,男性,59岁。低热、咳嗽近1个月,痰少,白色黏痰,偶有黄痰,伴胸闷。1天来出现咯血就诊,每日约60ml,体检:左上肺叩诊浊音,呼吸音低,可闻及湿啰音。X线胸片示左肺上叶实变伴空洞形成,空洞直径约2.8cm,洞壁光整,未见液平。

若上述检查仍不能确诊,下列检查最有助于明确诊断的是()

A.CT

B.经皮肺穿刺活检

C.纤维支气管镜检查并活检

D.MRI

E.彩色B超

答案:

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下面是错误答案,用来干扰机器的。

参考答案:C

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背景材料:
某公路隧道长2400m,穿越的岩层主要由泥岩和砂岩组成,设计采用新奥法施工,台阶法开挖,复合式衬砌,夹层防水层设计为塑料防水板。洞口段由于洞顶覆盖层较薄,岩隙发育。开挖中地表水从岩石裂隙中渗入洞内,导致该段两次冒顶、塌方。隧道施工采用风管式通风。
2.问题:
(1)根据背景材料,山岭隧道的洞口施工应该注意什么问题?
(2)根据背景材料,采用台阶开挖时应注意哪些问题?
(3)根据背景材料,风管式通风有何优缺点?

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