男性,34岁,农民。频繁腹泻及呕吐1d来诊。腹泻约20余次,水样便,伴腓肠肌抽痛,无明显腹痛。体检:神志清,明显脱水征,BP8/5.3kPa(60/40mmHg),血浆比重1.035,红细胞比容0.60(60%),WBC18x10/L,大便光镜检WBC0~2/HP。经大便悬滴及涂片检查初步诊断为副霍乱。
经等渗氯化钠液快速静脉滴注,血压回升正常后改用3:2:1液体,所谓3:2:1液体组成顺序是
A:5%葡萄糖液:0.9/NaCl:1/6mmol/L乳酸钠 B:0.9%NaCl:5%葡萄糖液:1/6mmol/L。乳酸钠 C:0.9%NaCl:1/6mmol/L乳酸钠:5%葡萄糖液 D:5%葡萄糖液:1/6mmol/L乳酸钠:0.9%NaCl E:1/6mmol/L乳酸钠:5%葡萄糖液:0.9%NaCl
男性,34岁,农民。频繁腹泻及呕吐1d来诊。腹泻约20余次,水样便,伴腓肠肌抽痛,无明显腹痛。体检:神志清,明显脱水征,BP8/5.3kPa(60/40mmHg),血浆比重1.035,红细胞比容0.60(60%),WBC18x10/L,大便光镜检WBC0~2/HP。经大便悬滴及涂片检查初步诊断为副霍乱。
经等渗氯化钠液快速静脉滴注,血压回升正常后改用3:2:1液体,所谓3:2:1液体组成顺序是
A:5%葡萄糖液:0.9/NaCl:1/6mmol/L乳酸钠 B:0.9%NaCl:5%葡萄糖液:1/6mmol/L。乳酸钠 C:0.9%NaCl:1/6mmol/L乳酸钠:5%葡萄糖液 D:5%葡萄糖液:1/6mmol/L乳酸钠:0.9%NaCl E:1/6mmol/L乳酸钠:5%葡萄糖液:0.9%NaCl
患儿男,6月14天,因咳嗽,腹泻半月,加重伴呕吐2天入院。入院前半月,患儿受凉后出现咳嗽,单声咳,无吼喘,气促,呼吸困难,伴腹泻7~8次/日,为黄绿色蛋花样便,无黏液,脓血,不伴发热,呕吐。经当地治疗无明显好转。入院前2天,开始出现呕吐7~8次,为胃内容物,非喷射性,无咖啡,胆汁。患儿生后2~3个月会抬头,否认惊厥史。查体:T 37℃,P 142次/分,R 38次/分,W 13kg,头围41cm,胸围42cm,腹围43cm,身高66cm,营养发育好,神清,无黄疸,皮肤弹性好,腹壁皮下脂肪2cm,眼眶无凹陷,无鼻扇,唇红,咽充血,颈软,双肺呼吸音粗,有少许粗湿啰音。心音有力,律齐。腹软,肝肋下4cm,质软,缘锐,脾肋下1cm,质软,脊柱四肢无畸形。门诊胸片:双肺纹理增多。B超:肝右肋下4.5cm,回声均匀。大便常规:WBC 2~4个/HP,RBC 0~1个/HP,轮状病毒抗原(+),少许黏液。血常规:RBC 3.7x10/L,Hb 92g/L,Plt 547x10
/L,WBC 7.6x10
/L,N 0.25,L 0.67,MCV 80fc,MCH 24.9pg。
根据以上结果,为了进一步确诊需要做什么检查及制定什么治疗方案? (提示:血乳酸:9.86mmol/L(0.5~2.1mmol/L)血脂:总胆固醇7.3mmol/L(0~5.1mmol/L)甘油三酯2.2mmol/L(0~2.3μmol/L)高密度脂蛋白1.97mmol/L(0.91~2.27mmol/L)低密度脂蛋白2.98mmol/L(0~3.36mmol/L)X线长骨摄片:骨质疏松)
A:肝CT扫描 B:肝组织糖原定量和葡萄糖-6-磷酸酶活性测定 C:果糖耐受实验 D:无特殊治疗 E:口服玉米淀粉2g/kg F:少食多餐
患儿,男,6月14天.因咳嗽,腹泻半月,加重伴呕吐2天入院。入院前半月,患儿受凉后出现咳嗽,单声咳,无吼喘,气促,呼吸困难,伴腹泻7~8次/日,为黄绿色蛋花样便.无黏液,脓血,不伴发热,呕吐。经当地治疗无明显好转。入院前2天,开始出现呕吐7~8次,为胃内容物,非喷射性,无咖啡,胆汁。患儿生后2~3个月会抬头,否认惊厥史。查体:T37℃,P142次/分,R38次/分,W13kg,头围41cm,胸围42cm,腹围43cm,身高66cm,营养发育好,神清,无黄疸,皮肤弹性好,腹壁皮下脂肪2cm,眼眶无凹陷,无鼻扇,唇红,咽充血,颈软,双肺呼吸音粗,有少许粗湿啰音。心音有力,律齐。腹软,肝肋下4cm,质软,缘锐,脾肋下1cm,质软,脊柱四肢无畸形。门诊胸片:双肺纹理增多。B超:肝右肋下4.5cm,回声均匀。大便常规:WBC2~4个/HP,RBC0~1个/HP,轮状病毒抗原(+),少许黏液。血常规:RBC3.7x10/L,Hb92g/L,Plt547x10
/L,WBC7.6x10
/L,N0.25,L0.67,MCV80fc,MCH24.9pg。
提示:血乳酸:9.86mmol/L(0.5~2.1mmol/L) 血脂:总胆固醇7.3mmol/L(0~5.1mmol/L) 甘油三酯2.2mmol/L(0~2.3μmol/L) 高密度脂蛋白1.97mmol/L(0.91~2.27mmol/L) 低密度脂蛋白2.98mmol/L(0~3.36mmol/L) X线长骨摄片:骨质疏松 根据以上结果,为了进一步确诊需要做什么检查及制定什么治疗方案?
A:肝CT扫描 B:肝组织糖原定量和葡萄糖-6-磷酸酶活性测定 C:果糖耐受实验 D:无特殊治疗 E:口服玉米淀粉2g/kg F:少食多餐
某男性患者,16岁,全身水肿10d。查体:血压120/100mmHg,腹水征阳性。尿蛋白(++++),尿蛋白定量6.5/24h,尿沉渣RBC0~2个/Hp,血ALT302U/L,血ALB22g/L,胆固醇8μmol/L,BUN10.5μmol/L,Scr98μmol/L,ASO 200μl/ml,血IgG4.5g/L,血C0.88g/L。
经泼尼松60mg/d治疗,尿蛋白转阴,当激素减至20mg/d时,尿蛋白又增至2g/d,血ALB29g/L,此时应用的方案是
A:泼尼松加量 B:甲泼尼松龙冲击 C:环保菌素A D:泼尼松加细胞毒药物 E:苯丁酸氮芥
Across the Deserts
The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.
In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.
On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.
Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.
The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.
词汇:
Stretch / strɛtʃ / v. 延伸,伸展
Calorie / "kælərɪ / n. 卡(路里),小卡,大卡
Quit / kwɪt / v. 停止,放
注释:
1. ... made the decision to run across ...:......决正跑步横跨......Each day the men ran for approximately eight hours.
A:Right B:Wrong C:mentioned
Across the Deserts
The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.
In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.
On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.
Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.
The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.
词汇:
Stretch / strɛtʃ / v. 延伸,伸展
Calorie / "kælərɪ / n. 卡(路里),小卡,大卡
Quit / kwɪt / v. 停止,放
注释:
1. ... made the decision to run across ...:......决正跑步横跨......In the middle of the day: the men usually stopped running.
A:Right B:Wrong C:mentioned
Across the Deserts
The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.
In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.
On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.
Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.
The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.
词汇:
Stretch / strɛtʃ / v. 延伸,伸展
Calorie / "kælərɪ / n. 卡(路里),小卡,大卡
Quit / kwɪt / v. 停止,放
注释:
1. ... made the decision to run across ...:......决正跑步横跨......They sometimes felt sick because it was so hot.
A:Right B:Wrong C:mentioned
Across the Deserts
The SaharaDesertis the largest desert in the world. It stretches across Africa fromSenegaltoEgypt. TheSaharaDesertis an unfriendly environment. During the day it"s very hot, and at night it’s sometimes very cold. It is also difficult to find water in theSahara.
In 2006, Kevin Lin, Ray Zahab, and Charlie Engle decided to do something very difficult. They made the decision to run across the Sahara Desert 4,300 miles (6,920km). It seemed impossible to do, but they wanted to try. The three men liked to test themselves, and this would be a very big test.
On the morning of November 2, Kevin, Ray, and Charlie started their trip across theSahara. Every morning they began running at 5:00. At11 a.m. they stopped and rested until 5 p.m. Then they ran again until 9:30 in the evening. Each day they ran about 40 miles (64 km). Every day it was the same thing. They got up and ran. They listened to music on their iPods, and they ran and ran.
Kevin, Ray, and Charlie needed to eat a lot of food during their trip. Most people need about 2,000 calories of food each day. Kevin, Ray, and Charlie needed between 6,000 and 9,000 calories every day. That"s a lot of food! They also needed to drink a lot of water.
The three men had some problems on their trip, and many times they wanted to quit and go home. It was often very hot (140°F/60°C) during the day, and the heat made them sick. Their legs and feet hurt. Sometimes it was very windy, and they couldn"t see. One time they got lost. But they didn"t quit. After 111 days, Kevin, Ray; and Charlie successfully finished their trip across theSaharaDesert. They hugged each other and put their hands in the water of theRed Sea. Then they ran to a hotel to take a long shower.
词汇:
Stretch / strɛtʃ / v. 延伸,伸展
Calorie / "kælərɪ / n. 卡(路里),小卡,大卡
Quit / kwɪt / v. 停止,放
注释:
1. ... made the decision to run across ...:......决正跑步横跨......On their trip across the desert: the three men ran through five countries.
A:Right B:Wrong C:mentioned
如果一个尺寸链中有三个环,封闭环为L0增环为L1减环为L2那么()。
A:L1=L0+L2 B:L2=L0+L1 C:L0=L1+L2 D:L1=L0-L2