患者,女性,65岁,因头晕,耳鸣1月住院。查体:脾肋下2cm。辅助检查:红细胞容量4

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问题:

患者,女性,65岁,因头晕,耳鸣1月住院。查体:脾肋下2cm。辅助检查:红细胞容量41ml/kg,动静脉血氧饱和度98%。

该患者最可能的诊断为()

A.慢性再生障碍性贫血

B.巨幼红细胞贫血

C.白血病

D.真性红细胞增多症

E.巨脾病

考点:临床医学检验临床血液技术血液病学血液病学题库
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The human nose is an underrated tool. Humans are often thought to be insensitive smellers compared with animals, (51) this is largely because, unlike animals, we stand upright. This means that our noses are (52) to perceiving those smells which float through the air, missing the majority of smells which stick to surfaces. In fact, (53) , we are extremely sensitive to smells, even if we do not generally realize it. Our noses are capable of (54) human smells when these are diluted to far below one part in one million.

Strangely, some people find that they can smell one type of flower but not another, (55) others are sensitive to the smells of both flowers. This may be because some people do not have the genes necessary to generate (56) smell receptors in the nose. These receptors are the cells which sense smells and send (57) to the brain. However, it has been found that even people insensitive to a certain smell at first can suddenly become sensitive to it when (58) to it often enough.

The explanation for insensitivity to smell seems to be that the brain finds it (59) to keep all smell receptors working all the time but can (60) new receptors if necessary.

57().

A.signs 

B.stimuli 

C.messages 

D.impulses

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洋地黄的绝对禁忌证为()

A.右心衰竭

B.舒张性心力衰竭

C.无症状心力衰竭

D.单纯二尖瓣狭窄伴窦性心律

E.已用β受体阻滞剂者

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深基坑开挖采用放坡无法保证施工安全或现场无放坡条件时,一般采用()作为临时支挡以保证基坑的土壁稳定。

A.横撑式

B.支护结构

C.深层水泥土搅拌泥

D.悬臂式挡墙

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1岁男孩,发热1天,惊厥1次,面色发绀,周围循环不良,皮肤有出血点和瘀斑.血压40/20mmHg。

经治疗,患儿好转后又出现呼吸窘迫的症状,Pa0244mmHg,经大流量面罩吸氧, PaO2仍低于50mmHg,此时最需要的治疗是

A.输血

B.白蛋白

C.20%甘露醇

D.CPAP或PEEP

E.多巴胺

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被狗咬伤后如何处理?

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