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患者,女,50岁。2h前开始上腹部持续性疼痛伴腰背部放射,轻度腹胀,1天来未排气便,1h前有呕吐,后腹痛不减轻。既往有胆总管结石病史,否认糖尿病史。体检:神清,血压14.6/10.6kPa(110/80mmHg),心率90次/分,体温38℃。巩膜轻度黄染,腹略膨隆,上腹正中压痛,轻度肌紧张,反跳痛。Murphyr征(-),移动性浊音(-),肠鸣音减弱。血白细胞20×109/L,尿胆红素(-),血钾4mmoL/L,钠135mmol/L,氯106mmol/L,钙2.3mmol/L,血糖10.5mmol/L。

提示病变严重的化验结果是()

A.血清脂肪酶0.5~1.0康氏单位

B.尿淀粉酶大于1024温氏单位

C.血淀粉酶64温氏单位,血清脂肪酶高至1.5康氏单位

D.血淀粉酶256温氏单位

E.以上均不对

答案

参考答案:C

阅读理解

Swimming,cycling, jogging, skiing, dancing, walking or any of dozens of other activities can help your heart.    1  . Whether it is a structured exercise program or just part of your daily routine, all exercise adds up to having a healthier heart. Here are some tips for exercise success.

●Choose activities that are fun and add variety. Develop several activities that you can enjoy.    2  

●Wear comfortable, properly fitted shoes and comfortable, loose-fitting clothing appropriate for the weather and the activity.

●Find a convenient time and place to do activities.    3  . If you miss an exercise opportunity, work activity into your day another way.

●Use music to keep yourself entertained.

   4  .Decide what kind of support you need. Do you want them to remind you to exercise? Exercise with you regularly or occasionally? Be understanding when you get up early to exercise? Spend time with the children while you exercise? Try not to ask you to change your exercise routine? Share your activity time with others. Ask your family members, friends or co-workers for help.

●Don’t overdo it, especially at first. You can slowly increase the time and intensity (强度) of your activities as you become more fit.    5  

●Keep a record of your activities. Reward yourself at times. Nothing will inspire you more than success!

A.Try to make it a habit, but be flexible.

B.They all cause you to feel warm and breathe heavily without being out of breath.

C.Be an active role model for your children.

D.That way, exercise will never seem boring.E. If you are overweight or have a high risk of heart disease, see your doctor for medical advice before exercising.

F. Surround yourself with supportive people.

G. Gradually, work up to exercising on most days of the week for 30-60 minutes.

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