问题
多项选择题 案例分析题
患者男,30岁。某化工厂操作工,因头痛、头昏、恶心、呕吐、上腹痛10天急诊入院。查体:巩膜轻度黄染,上腹部压痛明显,无肌紧张,肝区有叩痛,肝肋下2cm可及,质软,触痛明显,脾未扪及。
需与急性二甲基甲酰胺中毒鉴别的疾病有()
A.病毒性肝炎
B.急性阑尾炎
C.冠心病
D.胆石症
E.肾结石
F.亚硝酸盐中毒
G.肺炎
答案
参考答案:A, D
患者男,30岁。某化工厂操作工,因头痛、头昏、恶心、呕吐、上腹痛10天急诊入院。查体:巩膜轻度黄染,上腹部压痛明显,无肌紧张,肝区有叩痛,肝肋下2cm可及,质软,触痛明显,脾未扪及。
需与急性二甲基甲酰胺中毒鉴别的疾病有()
A.病毒性肝炎
B.急性阑尾炎
C.冠心病
D.胆石症
E.肾结石
F.亚硝酸盐中毒
G.肺炎
参考答案:A, D
Many years ago, I owned a service station and roadhouse on the main road between Melbourne and Adelaide. One very cold, wet night at about 3:30 a.m., there was a 36 on the front door of our house. A young man, wet from 37 to toe, explained that he had 38 out of petrol about 30 km up the road. He had left his pregnant wife and his two children 39 at the car and said that he would hitchhike(搭便车) back. Once I had 40 a can with petrol, I took him back to his car where his two-year-old and four-year-old children were both 41 , saying that they were cold. Once the car had started, I suggested that he 42 me back. Before leaving, I had turned the heater 43 in the roadhouse, so that when we went in, it was nice and 44 .While the little ones played and ran 45 ,I prepared bread and butter for the children, and hot chocolate for the 46 . It was about 5 a.m. before they 47 .The young fellow asked me how much he 48 me and I told him that the petrol pump had 49 $15.He offered to pay “call-out fee”, but I wouldn’t accept it. About a month later, I received a 50 from Interstate, a large bus company that we had been trying to 51 to stop off at our roadhouse for a long time. It 52 out that the young fellow I had helped was its general manager, the most 53 person in the company. In his letter, he thanked me again and 54 me that, from then on, all their buses would stop at my service station. In this 55 ,a little bit of kindness was rewarded with a huge amount of benefits.
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