问题 多项选择题 案例分析题

患者女,23岁。咳嗽伴发热3d,意识模糊2h。体格检查:体温38℃,呼吸深快(35次/min),浅昏迷状态。营养状态差,右上肺有局限湿性啰音。X线片示右上肺淡薄阴影。血常规:血红蛋白90g/L,白细胞7.0×109/L,中性粒细胞0.53,淋巴细胞0.45,嗜酸粒细胞0.02。尿常规:尿糖(+++)、酮体(++++)、血细胞沉降率85mm/h。

该患者最可能的诊断是()

A.肺炎

B.糖尿病酮症酸中毒昏迷合并肺结核

C.妊娠

D.脑膜炎

E.风湿热

答案

参考答案:B

选择题
问答题

Ladies and Gentlemen,
It is my pleasure to address you as a United Nations Goodwill Ambassador to this Second WorldAssembly on Ageing, an honour which I truly welcome, and one which has provided me with an excellentopportunity to promote awareness of ageing. I congratulate the Secretary-General of the United Nations, thechairmen and the executive heads of the organizations of the United Nations system on their excellent work,the Chairman and Vice-Chairmen of the Preparatory Committee on their dedication, and the many individualswho have helped to make this Second World Assembly possible. [TONE]∥[TONE]
We are honoured to be hosting this world event in Spain. Our interest stems from our realization thatthe ageing of the population presents a challenge for which we must prepare ourselves and that we must beready to take advantage of the abilities of older persons. Therefore, in offering to be the host country, Spainwished to demonstrate its interest in policies for the integration of older persons and to give impetus to aninnovative debate in our society. [TONE]∥[TONE]
We are living through a period of major demographic change. The elderly are ever more numerous.That people are living longer and under better conditions, as a result of social progress, is one of humanity’sgreatest achievements. Older persons are a universal force with the potential to transform the future. Thisglobal transformation is going to affect individuals, families, communities and virtually every area of society.[TONE]∥[TONE]
Accordingly, we must prepare ourselves for this new challenge by promoting changes in attitude towardsthis demographic revolution, which is taking place because of the increase in the number of older personsin the world. Achieving a society for all ages involves analysing society from a broader perspective andhighlights the role played by relations between the various generations making up society. Solidarity betweenthe generations in all areas of family, community and national life is essential for social cohesion. [TONE]∥[TONE]

We younger people must be increasingly aware that, in order to move forward in building a more just society, we must recognize the advances made by older generations and value their experience and currentabilities appropriately. At the same time, we must be able to transmit such values to coming generations.Inter-generational solidarity is a natural setting within which encounter, learning and exchange take placeamong individuals. It offers advantages to all and helps in achieving a more integrated society. [TONE]∥[TONE]
Together we will build a positive image of ageing, which should involve not simply prolonging life, but also ensuring that old age is healthy, independent, active and fully integrated in society. Ageing should be seen as astage in life during which men and women can still develop their skills, as active agents in our societies, in whichthey should continue to participate as full citizens with full social recognition. [TONE]∥[TONE]
I hope that all the proposals that result from this World Assembly will enable our society to face the challenges posed by the ageing of the population, and that they will be translated into practice by the greatestpossible number of countries in such a way that older persons will benefit from them as soon as possible.
Thank you. [TONE]∥[TONE]