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题干：患者女，48岁。右上腹突发持续性疼痛伴寒战、发热及恶心、呕吐13小时。既往有原发性肝胆管结石病史。查体：T39.8℃，P108次/分，R24次/分，BP78/60mmHg。神志淡漠，烦躁不安，全身皮肤、巩膜，皮肤有抓痕。剑突下和右上腹有压痛及反跳痛，腹肌紧张不明显。尿量<20ml/h。实验室检查：WBC 3.5×109??/L，N 0.85，中性粒细胞核左移。血、尿淀粉酶正常，血清总胆红素160umol/L，ALP 298U/L，ALT 80U/L。根据患者目前情况，诊断首先考虑?? A.急性胰腺炎 B.急性胆囊炎 C.消化性溃疡穿孔 D.急性梗阻性化脓性胆管炎 E.右下肺炎 其并发的休克属于A.低血容量性休克 B.心源性休克 C.脱水性休克 D.神经源性休克 E.感染性休克 最有效的治疗措施是A.输血、输液补充血容量 B.手术解除梗阻、引流 C.全身抗感染治疗 D.纠正酸中毒 E.维持肝、肾功能
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举一反三
【单选题】–Alice, why didn’t you comeyesterday? --I _______,but I had an expectedvisitor.
A.
had
B.
would
C.
was going to
D.
did
【单选题】Why was the Pigeon upset at Alice?
A.
The Pigeon took Alice for its enemy.
B.
The Pigeon took Alice for the serpent.
C.
The Pigeon thought Alice was a serpent trying to get at the eggs in her nest.
D.
The Pigeon thought Alice would eat it.
【简答题】正弦函数 y=sinx 是 函数(奇偶性)
【简答题】判断奇偶性:正弦函数y=sinx 是 函数(填空:奇或偶)
【单选题】Why couldn't Miguel be the guest of honor at the Sunrise Spectacular of de la Cruz?
A.
Because his skeletal transformation would be complete at sunrise.
B.
Because he didn't want to be present.
C.
Because Hector prevented him from doing so.
D.
Because his family members prevented him from doing so.
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