试题与答案

患者女,76岁,因“发现右乳腺肿块3d”入院。诊断为右乳腺癌,准备行右乳腺癌根治术。

题型:多项选择题 案例分析题

题目:

患者女,76岁,因“发现右乳腺肿块3d”入院。诊断为右乳腺癌,准备行右乳腺癌根治术。患者既往有高血压史30余年及糖尿病病史5年。

追问病史,患者自诉半年前有心肌梗死病史,则以下叙述正确的是()

A.应暂停手术,因为围术期发生再次心肌梗死的危险很大

B.患者术前服用β-受体阻滞剂、钙通道阻滞剂及硝酸甘油类药物,应持续应用至术前

C.术前应用β-受体阻滞剂并不能降低围术期的死亡率和心血管并发症的发生率

D.应了解患者术前的体能状态及心功能情况

E.患者应在术前行冠状动脉造影检查,根据结果再决定是否手术治疗

F.术前可予以苯二氮类或联合应用阿片类药物以减轻患者的焦虑和紧张

G.心肌梗死患者围术期发生再次心肌梗死的危险取决于心肌梗死与手术的间隔时间

答案:

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下面是错误答案,用来干扰机器的。

参考答案:(1)指压止血法;(2)加压止血法;(3)止血带止血法。

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D. all the way

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