眼耳鼻喉-口腔重点(新)

地形平坦开阔，地层由第四系全新冲积层，第四系上更新统冲层组成，局部表覆第四系全新统人工堆积层。第四系全新统冲积层厚度约25～50m，岩性主要为黏土、粉质黏土、粉土、粉砂、细砂；第四系上更新统冲积层厚度大于50m，岩性主要为黏性土、粉土、粉细砂等。管桩深度范围内地层主要为：粉土、黏土、粉质黏土，局部表层为杂填土。couplingCentreshallbechecked,thesecondpouredconcretestrengthofmorethan70%.Intheprocessofreamingorboring,apartfromthespecialprovisionsinfactory,doesnotallowanyworkthatmayaffectthecouplingCentre,suchasirrigation,tocylinderconnectionstofloodthecondenserpipesandsoon.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Mountingboltsshouldbeaddedlubricants,typinggentlywithasmallhammer,nottoolooseortootight,packedtheboltswiththecorrespondingsealscrewholeshouldbemarked.6.4.5.4.2couplingreamedandpairingsisclosetothediameterofboltbearinggoodhingeholes,dressedwithagoodtwocouplingboltsbeforeyoucanmovetherotor,boring-reamingholeinturn.Couplingboltsmustbetightcouplingissymmetricaldiameter,inboring,reaming,twoboltsout.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Duetothecouplingboltsinaccordancewithhingeholescorrespondingtothediameterofthescrewholesonebyoneafterprocessing,processingbackboltinstallationlocationcannotbechanged,soaccordingtoboltaftertheactualweightdifferenceofnutandlockwashertomatch.Generalrequirementsforcouplingtwosymmetricaldiameterbolt,nutandlockwasher'stotalweightdifferenceshouldnotbegreaterthan10gandknocksstampedmark.(SeeFigure18)Thecouplingboltsapplylubricant,andthengentlywithcopperhome,nottoolooseortootight.BoltAssemblyisfinished,symmetricaltighteningallboltsto30%,50%,70%,100%force,andcheckthecouplingflutterandbeforeconnectingthecirclegraduallychangesitsvalueshouldbelessthan0.02mm.Tighteningtorqueofthecouplingboltsshallcomplywiththetechnicalrequirementsmanufacturersdrawings,withadynamometricwrenchorlogtensiontools.Threewheelrotorswingtestcouplingconnectionsshouldbechecked:takingleave,耳鼻喉重点！C1、痰浊中阻耳眩晕的最佳方剂是：()A天麻勾藤饮B二陈汤C半夏天麻白术汤D归脾汤A2、根据咽鼓管的特点，哪一组是婴儿与儿童咽鼓管的特征：()A宽、短、直B狭、短、直C狭、长、直D宽、长、直D3、肺脾气虚型鼻鼽治宜健脾补肺、升阳固表，宜用：（）A湿脾汤B参苓白术散C黄芩滑石汤D补中益气汤B4、人体最大的副鼻窦是：（）A额窦B上颌窦C筛窦D蝶窦C5、治疗脾虚脓耳的最佳方剂是：()A补中益气汤B参苓白术散C托里消毒散D人参归脾汤B6、检查患者口咽部时，压舌板的远端宜置于（）A舌前1/3和舌后2/3交界处B舌前2/3和舌后1/3交界处C舌前后1/2交界处D舌的任何部位A7、变应性鼻炎（即过敏性鼻炎）主要症状是（）。A、阵发性鼻痒喷嚏溢清涕B、交替性鼻塞、粘液性涕C、持续性鼻塞、粘脓性涕D、鼻干、嗅觉减退D8、急性化脓性上颌窦炎出现头痛时间是（）。A、夜间B、傍晚C、上午D、下午C9、为呼吸道最狭窄的部位。A、声门上区B、声门下区C、声门裂D、杓间区A10、急喉风出现喉性呼吸困难主要特点是：（）A三凹征B喉鸣C痰涎壅盛D吸入性呼吸困难多选题ABC1、引起药物中毒性耳聋，常见的抗生素有:()A链霉素B庆大霉素C卡那霉素D青霉素ABD2、临床上将耳聋分为哪几类？（）A传导性聋B感音神经性聋C暴聋D混合性聋ABCD`3、慢性扁挑体炎手术治疗的指征为：（）A．慢性扁挑体炎反复急性发作B并发扁桃体周围脓肿者C．已成为某些全身病的原发病灶D扁桃体肿大，妨碍饮食、呼吸E扁桃体肿Ⅱ°大者ABCD4、中耳包括那几部分？（）A鼓室B咽鼓管C鼓窦D乳突ABCD5、常见耳源性颅内并发症有（）。A、硬脑膜外脓肿B、脑膜炎C、脑脓肿D、乙状窦血栓性静脉炎填空题1、耳由外耳、中耳、内耳三部分组成，连接耳与咽部的通道是鼻咽管。2、咽是呼吸道和消化道上端两个系统的共同通道。3、喉的生理功能包括呼吸功能、发声功能、保护功能与反射机制、屏气功能。地形平坦开阔，地层由第四系全新冲积层，第四系上更新统冲层组成，局部表覆第四系全新统人工堆积层。第四系全新统冲积层厚度约25～50m，岩性主要为黏土、粉质黏土、粉土、粉砂、细砂；第四系上更新统冲积层厚度大于50m，岩性主要为黏性土、粉土、粉细砂等。管桩深度范围内地层主要为：粉土、黏土、粉质黏土，局部表层为杂填土。couplingCentreshallbechecked,thesecondpouredconcretestrengthofmorethan70%.Intheprocessofreamingorboring,apartfromthespecialprovisionsinfactory,doesnotallowanyworkthatmayaffectthecouplingCentre,suchasirrigation,tocylinderconnectionstofloodthecondenserpipesandsoon.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Mountingboltsshouldbeaddedlubricants,typinggentlywithasmallhammer,nottoolooseortootight,packedtheboltswiththecorrespondingsealscrewholeshouldbemarked.6.4.5.4.2couplingreamedandpairingsisclosetothediameterofboltbearinggoodhingeholes,dressedwithagoodtwocouplingboltsbeforeyoucanmovetherotor,boring-reamingholeinturn.Couplingboltsmustbetightcouplingissymmetricaldiameter,inboring,reaming,twoboltsout.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Duetothecouplingboltsinaccordancewithhingeholescorrespondingtothediameterofthescrewholesonebyoneafterprocessing,processingbackboltinstallationlocationcannotbechanged,soaccordingtoboltaftertheactualweightdifferenceofnutandlockwashertomatch.Generalrequirementsforcouplingtwosymmetricaldiameterbolt,nutandlockwasher'stotalweightdifferenceshouldnotbegreaterthan10gandknocksstampedmark.(SeeFigure18)Thecouplingboltsapplylubricant,andthengentlywithcopperhome,nottoolooseortootight.BoltAssemblyisfinished,symmetricaltighteningallboltsto30%,50%,70%,100%force,andcheckthecouplingflutterandbeforeconnectingthecirclegraduallychangesitsvalueshouldbelessthan0.02mm.Tighteningtorqueofthecouplingboltsshallcomplywiththetechnicalrequirementsmanufacturersdrawings,withadynamometricwrenchorlogtensiontools.Threewheelrotorswingtestcouplingconnectionsshouldbechecked:takingleave,名词解释题1、耳聋：指听觉系统中传音，感音或综合分析部分的功能异常，致使听力不同程度减退或丧失者称耳聋。听力损失轻者也叫重听。2、利特尔区：是鼻出血最常见部位，又称易出血区。筛前、筛后动脉的鼻中隔支和蝶腭动脉的鼻腭动脉，在鼻中隔的前下部与上唇动脉中隔支及腭大动脉吻合，在粘膜下构成网状动脉丛，称为Little氏动脉丛。（或：在鼻中隔最前下部分的粘膜内血管汇集成丛称为利特尔区）简答题1.急性喉阻塞分几度？各度呼吸困难的处理原则又如何？共分为4度①、Ⅰ度呼吸困难者，应积极进行病因治疗。②、Ⅱ度呼吸困难时，首先考虑病因治疗。由炎症引起者，可用足量抗生素和糖皮质激素，若为异物，应迅速取出。一时不能去除病因的喉肿瘤、双侧声带外展麻痹等，也可考虑气管切开。③、Ⅲ度呼吸困难者，在积极进行病因治疗的同时，必须做好行气管切开手术的准备。在严密观察病情变化的前提下，病因能在较短时间内去除这，可以暂不行气管切开。若经抗炎治疗病情无好转，全身情况较差，宜早行气管切开。若为肿瘤等站位性病变，应立即行气管切开。④、Ⅳ度呼吸困难者，应迅速行环甲膜切开，或先做气管插管，再行气管切开。病例分析题张××，男，30岁，因咽部疼痛2天就诊。患者因喝酒后出现咽部疼痛，吞咽时加重，进食困难，伴发热，口渴引饮，口臭，咳嗽痰黄，小便黄赤，大便2日未解。检查：T38℃，心肺正常，双