外科04 任务（The 04 task of surgery）.doc

外科04 任务（The 04 task of surgery） 1. women, aged 33, were admitted to hospital with hyperthyroidism. Physical examination: T36.6 degrees, P110 / min, R19 / min, BP125/75mmHg, second degree of thyroid enlargement. The patient is 165cm tall, weighs 45kg, has lost weight of 5kg in the past 3 months, and is flustered, shortness of breath and sweating after walking 200 meters at a brisk pace. The patient underwent subtotal thyroidectomy surgery after the first day, suddenly appeared a temperature of 39.2 DEG C, pulse 132 beats / min, chills, sweating, irritability and vomiting etc.. 1) according to the formula calculation, the preoperative basal metabolic rate of the patient is D A. 38 B. 43 C. 45 D. 49 E. 53 Full marks: 4 2) the possible complication of the patient is A A. thyroid crisis B. has difficulty breathing C. bilateral recurrent laryngeal nerve injury D. bilateral lateral branch of superior laryngeal nerve injury E. unilateral recurrent laryngeal nerve injury Full marks: 4 3) the most important preoperative preparation for hyperthyroidism is E Determination of basal metabolic rate by A. B. mental nursing C. laryngoscopy D. electrocardiographic examination E. take antithyroid drugs Full marks: 4 4) the drug that needs to be taken before the patient to reduce thyroxine synthesis is C A. atropine B. propranolol C. propylthiouracil D. thyroxine tablet E. recurrent potassium iodide Full marks: 4 5) the mistake of postoperative care is E A. take a half supine position B. observe vital signs C. pay attention to neck swelling D. observation, pronunciation and eating E. take thyroxine pills and check the blood daily Full marks: 4 2. men, 68 years old, Henan Lin County, due to progressive dysphagia for 4 months, the current can flow into the food. Smoking for 50 years, 1 packs a day. I like eating salted food. His brother died of esophageal cancer. Height 1.75m, weight 50kg. Endoscopic examination of esophageal carcinoma. To undergo esophageal surgery and to be admitted to