《抗菌药物临床应用指导原则》试题.pdf

读书破万卷下笔如有神抗菌药物临床应用指导原则试题一、单项选择（11 题）二、多项选择（10 题）三、填空题(10 题)四、判断题（10 题）五、简答题（8 题）一、单项选择（11 题）1、老年人和儿童在应用抗菌药时，最安全的品种是（C）A 氟喹诺酮类B 氨基糖苷类C 内酰胺类D 氯霉素类2、亚胺培南、美罗培南等青霉烯类抗菌药主要用于（A)A 革兰氏阴性产酶菌B 革兰氏阳性产酶菌C 真菌D 支原体3、对产生超广谱内酰胺酶的细菌感染的患者进行治疗时宜首选类抗生素。（A）A 碳青霉烯类B 氯霉素类读书破万卷下笔如有神C 大环内酯类D 氨基糖苷类4、引起医院内感染的致病菌主要是（B）A 革兰阳性菌B 革兰阴性菌C 真菌D 支原体5、在细菌所引起的医院内感染中，以感染在我国最常见。（C）A 尿路感染B 术后伤口感染C 肺部感染D 皮肤感染6、抗菌药物的选择及其合理使用是控制和治疗院内感染的关键和重要措施，以下哪项说法不正确(D)A 病毒性感染者不用B 尽量避免皮肤粘膜局部使用抗菌药物C 联合使用必须有严格指征D 发热原因不明者应使用抗菌药物7、下列哪种手术宜预防性应用抗生素（D)A 疝修补术B 甲状腺腺瘤摘除术C 乳房纤维腺瘤切除术D 开放性骨折清创内固定术文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神8、耐甲氧西林的葡萄球菌（MRSA）的治疗应选用（D）A 青霉素B 头孢拉啶C 头孢哌酮D 万古霉素9、预防用抗菌药物药缺乏指征(无效果，并易导致耐药菌感染)的是（D）A 免疫抑制剂应用者B 普通感冒、麻疹、病毒性肝炎、灰髓炎、水痘等病毒性疾病有发热的患者C 昏迷、休克、心力衰竭患者D 以上都是10、经临床长期应用证明安全、有效，价格相对较低的抗菌药物在抗菌药物分级管理中属于(A)A 非限制使用抗菌药物B 限制使用抗菌药物C 特殊使用抗菌药物D 以上都不是11、青霉素 G 最常见的不良反应是（D）A 肝肾损害B 耳毒性C 二重感染D 过敏反应二、多项选择（10 题）文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神1、抗菌药物临床应用指导原则分哪四部分？（ABCD）A“抗菌药物临床应用的基本原则”B“抗菌药物临床应用的管理”C“各类抗菌药物的适应证和注意事项”D“各类细菌性感染的治疗原则及病原治疗”E 以上都不是2、抗菌药物的不合理应用表现在诸多方面：（ABCDE）A 无指征的预防用药B 无指征的治疗用药C 抗菌药物品种、剂量的选择错误D 给药途径、给药次数不合理E 疗程不合理3、4、抗菌药物治疗性应用的基本原则（ABCD）A 诊断为细菌性感染者，方有指征应用抗菌药物；B 尽早查明感染病原，根据病原种类及细菌药物敏感试验结果选用抗菌药物；C 按照药物的抗菌作用特点及其体内过程特点选择用药；D 抗菌药物治疗方案应综合患者病情、病原菌种类及抗菌药物特点制订；E 非细菌感染也可以选择抗菌药物5、肾功能减退患者抗菌药物应用的基本原则（ABCD）A 尽量避免使用肾毒性抗菌药物，确有应用指征时，必须调整给药方案。B 根据感染的严重程度选用无肾毒性或肾毒性低的抗菌药物。C 根据患者肾功能减退程度以及抗菌药物在人体内排出途径调整给药剂量及文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神方法。D 根据病原菌种类及药敏试验结果等选用无肾毒性或肾毒性低的抗菌药物。E 以上都不是6、抗菌药物治疗方案应综合患者病情、病原菌种类及抗菌药物特点制订，根据什么制订抗菌药物治疗方案（ABCE）A 病原菌B 感染部位C 感染严重程度D 患者的体温E 患者的生理、病理情况7、抗菌药物治疗方案应综合患者病情、病原菌种类及抗菌药物特点制订，包括（ABCDE）A 选用品种B 剂量C 给药次数D 给药途径、疗程E 联合用药8、抗菌药物的联合应用要有明确指征（ABCDE）A 原菌尚未查明的严重感染，包括免疫缺陷者的严重感染。B 单一抗菌药物不能控制的需氧菌及厌氧菌混合感染。C 单一抗菌药物不能有效控制的感染性心内膜炎或败血症等重症感染。D 需长程治疗，但病原菌易对某些抗菌药物产生耐药性的感染，如结核病、深部真菌病。文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神E 2 种或 2 种以上病原菌感染。9、外科手术预防用药目的（ABD）A 预防手术后切口感染B 清洁-污染或污染手术后手术部位感染C 预防呼吸道感染D 术后可能发生的全身性感染。E 预防消化道感染10、抗菌药物分哪三类进行分级管理。（ABC）A 非限制使用B 限制使用C 特殊使用D 随意使用E 经验使用三、填空题(10 题)1、诊断为细菌性感染者，方有指征应用抗菌药物。2、尽早查明感染病原，根据病原种类及细菌药物敏感试验结果选用抗菌药物。3、按照药物的抗菌作用特点及其体内过程特点选择用药4、根据病原菌、感染部位、感染严重程度和患者的生理、病理情况制订抗菌药物治疗方案。5、治疗重症感染和抗菌药物不易达到的部位的感染，抗菌药物剂量宜较大。6、轻症感染可接受口服给药者，应选用口服吸收完全的抗菌药物，不必采用静脉或肌内注射给药。文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神7、抗菌药物的联合应用要有明确指征：单一药物可有效治疗的感染，不需联合用药。8、外科手术预防用药基本原则：根据手术野有否污染或污染可能，决定是否预防用抗菌药物。9、外科预防用抗菌药物的给药方法：接受清洁手术者，在术前 0.52 小时内给药，或麻醉开始时给药。10、如果手术时间超过3 小时，或失血量大 1500 ml，可手术中给予第2 剂。四、判断题（10 题）1、按照抗菌药物临床使用分级管理要求，将抗菌药物分为非限制使用、限制使用与特殊使用三类。（）2、局部用药宜采用刺激性小、不易吸收、不易导致耐药性和不易致过敏反应的杀菌剂，青霉素类、头孢菌素类等可局部应用。氨基糖苷类等可局部滴耳。（）3、预防应用抗菌药物，术中需要追加的情况见于手术时间长（3 小时）或术中失血量大（1500mL）。（）4、新生儿禁用四环素类、喹诺酮类抗菌药物，可导致脑性核黄疸及溶血性贫血的磺胺类药和呋喃类药避免应用。（）5、6、预防应用抗菌药物要求类切口的停药时间为3 至 7 天。（）7、术前已存在细菌性感染的手术，属抗菌药治疗性应用，不属预防应用范畴。（)8、头孢吡肟（马斯平）属于第四代头孢菌素，亚胺培南/西司他丁（泰能）属于碳青霉烯类抗菌药物。（）文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5读书破万卷下笔如有神9、抗菌药物疗程因感染不同而异，一般宜用至体温正常、症状消退后 7296 小时。（）10、上、下呼吸道、上、下消化道、泌尿生殖道手术，或经以上器官的手术不需预防用抗菌药。（）五、简答题（8 题）1、抗菌药物分级管理的分级原则？答：（1）非限制使用：经临床长期应用证明安全、有效，对细菌耐药性影响较小，价格相对较低的抗菌药物。（2）限制使用：与非限制使用抗菌药物相比较，这类药物在疗效、安全性、对细菌耐药性影响、药品价格等某方面存在局限性，不宜作为非限制、药物使用。（3）特殊使用：不良反应明显，不宜随意使用或临床需要倍加保护以免细菌过快产生耐药而导致严重后果的抗菌药物；新上市的抗菌药物；其疗效或安全性任何一方面的临床资料尚较少，或并不优于现用药物者；药品价格昂贵。2、抗菌药物联合应用指征？答：（1）原菌尚未查明的严重感染，包括免疫缺陷者的严重感染。（2）单一抗菌药物不能控制的需氧菌及厌氧菌混合感染，2 种或 2 种以上病原菌感染。（3）单一抗菌药物不能有效控制的感染性心内膜炎或败血症等重症感染。（4）需长程治疗，但病原菌易对某些抗菌药物产生耐药性的感染，如结核病、深部真菌病。文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T5N5文档编码:CB3B6H4U8J2 HN9N6M9R6J10 ZN9W4D6T