问题 单项选择题

男,45岁,急性胰腺炎,静脉应用广谱抗生素非手术治疗1周后,腹痛、腹胀加重,体温再度升高。

若腹腔穿刺涂片查出大肠杆菌时,应选择的治疗措施是

A.加用甲硝唑静脉点滴

B.甲硝唑和广谱抗生素腹腔灌洗

C.急诊行剖腹外引流手术

D.急诊行剖腹内引流手术

答案

参考答案:C

解析: 急性胰腺炎保守治疗过程中,临床症状加重,应考虑有无胰腺坏死的可能,诊断一旦明确,应紧急手术。腹腔穿刺涂片查出大肠杆菌时说明有继发感染,应行手术外引流术。

阅读理解

Retirement Age

Retirement is the point where a person stops employment completely.The " standard" retirement age varies from country to country, but it is generally between 50 and 70, according to the latest statistics, 2011.However, for a long time, people have got into an argument about whether the age of retirement should be increased or reduced in their own countries.

There are several arguments for allowing older people to continue working as long as they are able.Many people think that older employees have a large amount of knowledge and experience which can be lost to a business or organization if they are made to retire.Besides, older employees are often extremely faithful employees to and are more willing to implement company policies than the young.A more important point is regarding the attitudes in society to old people.To force someone to resign or retire at 60 or 65 indicates that the society does not value the input of these people and that effectively their useful life is over.

Allowing old people to work indefinitely (无限地), however, is not always a good policy.Some people took the strong view that age alone is no guarantee of ability.Many young employees have more experience or skills than older staff, who may have been stuck in one area for most of their working lives.Having compulsory retirement allows new ideas in an organization.On the other hand, older people should be rewarded by society for their life' s labor by being given generous pensions and the freedom to enjoy leisure.They can have time to do whatever they like, that is, they can have their own plans or roles and achieve their retirement goals.

With many young people unemployed or frustrated in low-level positions, there are often calls to compulsorily retire older workers.However, this can affect the older individual' s freedom—and right—to work.In my opinion, giving workers more choices over their retirement age will benefit society and the individual.

小题1:According to the passage, older people should go on with work because ____.

A.they will help the business not to fail quickly

B.they have grasped much practical experience

C.they need to have a sense of achievement

D.they want to learn more knowledge小题2:The underlined word "implement" in Paragraph 2 probably means "______".

A.take over

B.work on

C.get rid of

D.carry out小题3:The third paragraph is mainly to tell us that ______.

A.older people can' t do their work well

B.young people usually have new ideas

C.it is better for older people to retire on time

D.older people would like to do something else小题4:Which of the following shows the structure of the passage?

单项选择题