患者男性,50岁,农民。畏寒、发热、全身酸痛、腰痛3天。大便稀,5~6次/日,伴呕吐

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问题:

患者男性,50岁,农民。畏寒、发热、全身酸痛、腰痛3天。大便稀,5~6次/日,伴呕吐6次。查体:T39.8℃,P108次/分,R26次 /分,BP90/60mmHg,神志清楚,烦躁,急性重病容,眼结膜明显充血水肿,上腭、双腋下及胸背均可见小的出血点,颈软,双肺呼吸音清,脐周压痛,移动性浊音可疑。

入院第2天患者血压、体温恢复正常,但腹痛呕吐加剧,尿量300ml/24h,腹部压痛伴肌紧张,移动性浊音阳性。血常规:WBC54.1×10/L,Plt69×10/L。尿蛋白(+++)。应首先进行的检查包括()

A.PT

B.腹部CT

C.腹水常规及生化检查

D.腹腔穿刺

E.肾功能

F.骨髓穿刺

G.血培养

H.AFP

I.肝功能

J.乙肝全项

考点:内科学(医学高级)医学高级(内科学)正高特训押题密卷三
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生猪屠宰商最近购买一头病猪在市场销售,在私自屠宰时不慎用刀刺破了手上的皮肤。2天后,该屠宰商突然感觉畏寒、发热,头痛、头昏、全身不适、乏力等症状。后期,病人四肢远端部位出现淤血和斑点,出现休克症状。

根据该病的流行病学特点、症状初步诊断该病人感染了()

A.大肠杆菌病

B.沙门氏杆菌病

C.李氏杆菌病

D.猪Ⅱ型链球菌

E.猪乙型脑炎

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Today I’d like to talk about how to become a (1) . Usually you have to start at the beginning. That is, you have to begin (2) of some sort on a local newspaper, a (3) , maybe on a small magazine -- work (4) . Now there aren’t that many organizations which have large numbers of foreign correspondents so you also have to (5) with that aim (6) . Another way of doing it is to work abroad, and work as (7) . That’s somebody who sells stories, and gets paid (8) , to newspapers and magazines and so on. And hoping to (9) that way, and eventually to be offered a (10) .
I don’t really know (11) are needed, but obviously a degree in modern languages or (12) would be very useful. But, a degree in itself probably wouldn’t (13) . It wouldn’t be enough to get you job. It wouldn’t (14) to make an editor decide to (15) . So it’s difficult to define the (16) . You’re going to need (17) and the ability to assimilate information (18) and then produce stories which (19) of the newspaper or radio or television station you (20) .

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在雷击过后至少()后才可以接近风机发电机组。

A、0.2h

B、0.5h

C、1h

D、2h

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信息只用一条传输线,且采用脉冲传输的方式为()。

A.串行传输

B.并行传输

C.并串行传输

D.分时传输

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在不同行政区域之间的边界河流上建设水资源开发、利用项目,应当符合该流域经批准的什么方案?

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