中级疼痛诊疗学及危重病医学(国外英文资料).docVIP

中级疼痛诊疗学及危重病医学 There are several cases, each with several questions. According to the information provided by the answer, choose one of the best answers to each question: A, B, C, D, and E. Female, 50 years old, left occipital temporal continuity dull pain for three years, since morning attack, up or down pain worse, attack all for several hours at a time, and the pain to stop hair tenderness, its sister have similar history of headache. The most likely diagnosis A temporal arteritis B cluster headache C migraine D muscle tension headache E pillow headache The patient was wrongly treated for an acute episode A still drips mannitol B steroid hormone aspirin D dihydroergotamine E star ganglion block The cause is wrong A genetic and family factors B cerebrovascular dilation causes cerebral blood flow to change The levels of estrogen, progesterone, and prolactin are high in C In D blood, serotonin and norepinephrine E has nothing to do with psychological factors Male, 57 years old, after the pancreatectomy, the pancreatic leak occurred six days after the operation, and the breathing was very rapid. Check: face red, heart rate 110 times, blood pressure 90/60 mmHg, leg reflex abate. Blood gas analysis: pH7.27, PaCO2, 28mmHg, BE15mmo1 / L. The patient is most likely to have an acid and alkali disorder A respiratory acid poisoning combined with metabolic acidosis B respiratory alkali poisoning combined with metabolic acidosis C metabolic acidosis was combined with respiratory alkalosis D respiratory acidosis with compensatory low CO2 E metabolic acidosis was combined with respiratory acidosis In addition to the treatment of etiology, it is advisable to choose A assists breathing, speeding up carbon dioxide emissions brine C loses the hypertonic liquid A moderate amount of sodium bicarbonate E reduces the volume of air and makes PaCO2 up to 40 MMHG In case of the correction of metabolic acid poisoning, the patient appears to have a heart disorder disorder, and T wave is low,