患者男，酗酒后突发剧烈上腹绞痛4小时体呕吐、冷汗、面色苍白入院。体查：体温39

发布时间：2017-04-29 08:57 │ 来源：www.tikuol.com

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患者男，酗酒后突发剧烈上腹绞痛4小时体呕吐、冷汗、面色苍白入院。体查：体温39.3摄氏度，血压110/88mmHg，脉搏116次/min，腹上区压痛及反跳痛、腹肌紧张征阳性。血清淀粉酶腹800Som-ogyi，血钙降低

诊断应考虑为

A．胃溃疡

B．十二指肠溃疡

C．急性胃穿孔

D．出血坏死型胰腺炎

E．急性水肿型胰腺炎

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站在数据库管理系统的角度看，数据库系统一般采用三级模式结构，如下图所示。图中①②处应填写 (19) ，③处应填写 (20) 。

（19）处填（）。

A．外模式/概念模式

B．概念模式/内模式

C．外模式/概念模式映像

D．概念模式/内模式映像

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完形填空。
A boy was walking in the street l a man came over 2 him and 3 him the way 4 the station. The boy was very naughty. He wanted 5 a trick on the man. He pointed to 6 side of the road and said, " Go down the street until you reach a shop. You can find it on your left. " The man thanked him and went away. 　　A few minutes 7 ,the man came back. He said to the boy that there was only a bookshop there and he 8 find the station. 　　The boy 9 and said," 10 a map in the bookshop, and you'll find the way ! "
( )1. A.but ( )2. A. from ( )3. A. ask ( )4. A. to ( )5. A. play ( )6. A. another ( )7. A.before ( )8. A. can't ( )9. A. looked ( )10. A. Buy	B. because B. to B. asked B. for B. to play B. the other B. after B. may not B. cried B. Carry	C. then C. for C. tell C. at C. show C. one more C. past C. couldn't C. laughed C. Show	D. when D. with D. told D. in D. to show D. two D. later D. mustn't D. jumped D. Borrow

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培训计划的主要内容包括培训项目的确定、培训内容的开发、实施过程的设计、评估手段的选择、培训资源的筹备。 ( )

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放样时有几种方式（）

A、对齐

B、移动

C、复制

D、实例

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患者女性，22岁，经常患感冒，近期出现心悸，不能平卧，下肢水肿。查体：颈静脉稍充盈，心界向两侧扩大明显，心尖部第一心音低，有病理性第三心音，无杂音，诊断为（）

A.急性风湿热

B.病毒性心肌炎

C.风湿性心脏病

D.亚急性感染性心内膜炎

E.扩张型心肌病

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