问题
单项选择题
女性，40岁。发热，皮肤瘀点，月经量增多2周入院。体检：体温38．5℃，血压16／10kPa，胸骨下端有压痛。化验：Hb89g/L，WBC183．2×109／L，血小板28×109／L。尿检：尿蛋白（±），WBC109／HP。骨髓涂片证实为急性粒细胞性白血病，给予DA，同时给予阿米卡星（丁胺卡那霉素）0．2g，肌注，每日2次，共5d，化学治疗结束后第3d病人尿量减少，查BUN20mmol／L，UA720μmol／L，Gr480μmol／1出现急性肾功能衰竭最可能原因是（）
A.病人原有慢性肾炎
B.白血病细胞肾脏浸润
C.药物性肾损害
D.进食少及呕吐
E.尿酸性肾病
答案
参考答案：E
know what it is like to have an “English teacher”, since almost all pupils study English from their third year. Usually that first English teacher will be a young and lovely lady in primary school. But my first English teacher is no other than my father. Looking back, I can see that, when I was only a little girl, he created an English environment by providing me with flashcards（识字卡），fun English- language toys and even dolls which can sing English songs! My interest in English had certainly been awakened（唤起） when I began to learn English at school. Just imagine, he went a step further and a
sked me to learn New Concept English by myself! I was confused and even angry. I could not understand why a father could be so strict with his little girl. All the same, he never gave up and he gently insisted that I follow through with his idea. At first, I read stories with tears and I actually hated them because they were too difficult for me. In the end, I came to love the funny stories and, to be honest, my father was always there with a helping hand. I am sure that my English would never have got so far without his support. And that’s why my father is not only my first English teacher but also my lifelong teacher. He is the one who awoke my interest, who gave me confidence and who offered me much needed help.