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女性,72岁。患者于9小时前起床解小便时突发左侧肢体无力,摔到在地,伴尿失禁,无肢体抽搐。9天前因腹胀、腹痛在外院作B超检查发现肝脏多发性占位性病变(考虑转移癌),双肾体萎缩,肾实质弥漫性病变,腹水。既往无高血压病、心脏病及糖尿病史。个人家族特殊。 体格检查:体温 36.5°C,脉搏116/min,呼吸20/ min,血压145/75 mmHg。营养较差,全身皮肤黏膜无,未见肝掌及蜘蛛痣。浅表淋巴结未触及。心肺无异常发现。腹膨隆,肝脾触诊不满意腹水呈阳性。双下肢无浮肿。 神经系统检查神志不清,完全混合性失语双侧瞳孔等大等圆,直径25mm,对光反应灵敏。双眼球向右侧凝视,双侧鼻唇沟等深。左侧上下肢肌张力低,肌力0级。右侧肢体肌张力正常,针刺可见肢体活动,左侧肢体腱反射弱,双侧Babinski征阳性。 辅助检查:血常规RBC4.7x1012/L,WBC 8.8x109/L,PLT 330x109/L。肝功能ALT 18U/L,AST 25U/L。肾功能BUN 6.7mmol/L,Cr 118mmol/L。血糖51mmo/L,血电解质正常。EKG示性心律,T波改变。头颅CT示右侧顶枕部有43 cmx35cmx4cm不规则高密度影,周围有低密度影环绕,右侧脑室受压,脑萎缩。病理报告显示出脑内出血、脑充血、脑水肿;重度全身性动脉粥样硬化;肝原发性胆管细胞癌,肺门淋巴结、肠系膜淋巴结以及膈肌广泛性癌转移。 诊断 诊断依据
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皮皮学刷刷变学霸
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A.
正确
B.
错误
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【简答题】自然、社会、精神是我们的生活世界的三个基本领域,而()、()、(),则是我们人类知识体系的三个基本领域。
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【简答题】When a hurricane arrives, fishermen are in great er if they are at sea and do not get______.
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【单选题】the request in your letter of March 15th, we have covered the goods for you.
A.
As
B.
Comply with
C.
At
D.
Meet
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【单选题】《三好建筑工程虚实结合教学实训平台》中,板支模施工楼层高度超过()m及其以上建筑物模板安装,外脚手架应随同搭设。
A.
2
B.
3
C.
4
D.
5
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【单选题】---I seem to be lost. Could you tell me _____? ---Sure. You can take the No.3 bus to get there.
A.
where is the nearest hospital
B.
how long it will take me to the airport
C.
how far is my trip to the Olympic Village
D.
how I can get to the National Museum
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【单选题】The Deep Sea Drilling Project was of great significance because it was______.
A.
the first attempt to use a special technique.
B.
the first extensive exploration of the ocean bottom.
C.
attracting many geologists from all over the world.
D.
of great importance to funds of the gas and oil industry.
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【单选题】人身保险合同的保险标的为()。
A.
物质财产及有关利益
B.
财产
C.
人的生命和身体
D.
人的生命
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【简答题】选用适当的词或短语填空。 too much, strange, anxious, mean, picnic 1. What should we take for the ? 2. The granny could not find the way to the hospital. She felt . 3. There is snow outside, so we can't go out for...
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【简答题】脚手架搭设实训 脚手架搭设实训.docx
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相关题目：
【判断题】已创建的表间关系不能修改和删除。
A.
正确
B.
错误
查看完整题目与答案
【简答题】自然、社会、精神是我们的生活世界的三个基本领域,而()、()、(),则是我们人类知识体系的三个基本领域。
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【单选题】The Deep Sea Drilling Project was of great significance because it was______.
A.
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B.
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C.
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D.
of great importance to funds of the gas and oil industry.
查看完整题目与答案
【单选题】人身保险合同的保险标的为()。
A.
物质财产及有关利益
B.
财产
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人的生命和身体
D.
人的生命
查看完整题目与答案
【简答题】选用适当的词或短语填空。 too much, strange, anxious, mean, picnic 1. What should we take for the ? 2. The granny could not find the way to the hospital. She felt . 3. There is snow outside, so we can't go out for...
查看完整题目与答案
【简答题】脚手架搭设实训 脚手架搭设实训.docx
查看完整题目与答案