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男，13岁。大便伴头晕6小时，突然呕血1小时入院。患者于6小时前开始解柏油样便2次，每次约150g，1小时前进食晚餐后出现恶心，呕出鲜红色血液，量约300ml，无血凝块。伴头晕、心悸、口干。患者有乙肝病史多年，去年7月份在某医院诊断为"肝硬化失代偿期"，既往无"呕血"病史。入院体检：体温36．9℃，脉率90次／分，呼吸22次／分，血压105／70mmHg，慢性病容，颈部皮肤见多个蜘蛛痣，巩膜无。腹膨软，肝肋下未及，脾肋下3cm，腹部移动性浊音阳性。提示：腔二囊管压迫止血等严格的非手术治疗2天后，再次复发出血。此时查体：皮肤、巩膜无，神志清楚，体温36．7℃，脉率125次／分，呼吸24次／分，血压85／55mmHg；肝功能：白蛋白30．5g／L，总胆红素34．9μmol／L，谷丙转氨酶80U／L，尿素氮7．20mmol／L，肌酐120μmol／L，床旁B超：肝硬化，门静脉高压，脾大，小量腹水。进一步的止血治疗措施为（）.A.
继续抗休克治疗
B.
继续三腔二囊管压迫止血
C.
急诊断流术
D.
急诊门体分流术
E.
急诊断流术+远端脾肾静脉分流术
F.
急诊肝移植
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举一反三
【单选题】To better assume responsibility, today’s managers are advised to .
A.
monitor their staff
B.
train their fellow workers
C.
encourage their people
D.
interest customers in their products
【单选题】Today's progressive managers
A.
prefer to use the autocratic style of leadership.
B.
emphasize teamwork and cooperation rather than discipline and order giving.
C.
face fewer challenges and problems than managers in the past.
D.
can rely on a much higher level of worker loyalty to the organization than in the past.
【单选题】Today's managers are finding their world is characterized by
A.
change as occasional disturbances.
B.
stable environments.
C.
predictability.
D.
constant and chaotic change.
E.
more of the same.
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