问题 单项选择题 案例分析题

病历摘要:患者,女性,40岁。多饮、多食、多尿、血糖增高18年,外院诊断为“糖尿病”予胰岛素治疗。平时饮食控制不佳,不经常随访血糖,1周前因气功治疗而停用胰岛素,三天前病人出现极度口渴、恶心、呕吐、伴乏力、气急、心慌来院急诊。体检:T:36.8℃,P:116次/分,R:28次/分,BP:16/10KPA。神清,消瘦,皮肤黏膜干燥,心肺(-),肝脾未及,神经系统检查无异常发现。实验室检查:WBC:8.9×109/L血糖:26mmol/L,血酮:1.96mmol/L,尿糖:(+++),CO2CP:13mmol/L,PH:7.29。

糖尿病酮症酸中毒在最初的1~2小时,补液量应该是 ()

A.生理盐水1000毫升

B.5%葡萄糖1000毫升

C.生理盐水300毫升

D.5%葡萄糖1500毫升

E.5%葡萄糖生理盐水1000毫升

答案

参考答案:A

单项选择题 A型题
单项选择题

Throughout the 19th century and into the 20th, citizens of the United States maintained a bias against big cities. Most lived on farms and in small towns and believed cities to be centres of (1) , crime, poverty and moral (2) Their distrust was caused, (3) , by a national ideology that (4) farming the greatest occupation and rural living (5) to urban living. This attitude (6) even as the number of urban dwellers increased and cities became an essential (7) of the national landscape. Gradually, economic reality overcame ideology. Thousands (8) the precarious (不稳定的) life on the farm for more secure and better paying jobs in the city. But when these people (9) from the countryside, they carried their fears and suspicions with them. These new urbanities, already convinced that cities were (10) with great problems, eagerly (11) the progressive reforms that promised to bring order out of the (12) of the city.

One of many reforms came (13) the area of public utilities. Water and sewerage systems were usually operated by (14) governments, but the gas and electric networks were privately owned. Reformers feared that the privately owned utility companies would (15) exorbitant (过渡的) rates for these essential services and (16) them only to people who could afford them. Some city and state governments responded by (17) the utility companies, but a number of cities began to supply these services themselves. (18) of these reforms argued that public ownership and regulation would (19) widespread access to these utilities and guarantee a (20) price.

(5)()

A.superb

B.super

C.exceptional

D.superior