问题 单项选择题

患儿男性,6个月,发热、咳嗽1天,气促半天就诊。查体:T38.2℃,R60次∕分,P120次∕分,烦躁,哭声嘶哑,吸气时有“三凹征”,口周轻度发绀,咽红,扁桃体Ⅱ度肿大、充血,无脓性分泌物。心(-),双肺呼吸音粗,无啰音,腹部(-)。诊断首先考虑()。

A.急性喉炎

B.婴儿肺炎

C.低钙性喉痉挛

D.急性支气管炎

E.异物吸入

答案

参考答案:A

解析:小儿喉与声门下黏膜较成人疏松,急性喉炎等局部炎症容易引起呼吸道梗阻,患儿表现为呼吸道感染与喉梗阻症状与体征,故首先考虑急性喉炎。

选择题
单项选择题

When Melissa Mahan and her husband visited the Netherlands, they felt imprisoned by their tour bus. It forced them to see the city according to a particular route and specific schedule--but going off on their own meant missing out on the information provided by the guide. On their return home to San Diego, California, they started a new company called Tour Coupes. Now, when tourists in San Diego rent one of their small, brightly coloured three-wheeled vehicles, they are treated to a narration over the stereo system about the places they pass, triggered by Global Positioning System (GPS) satellite technology.

This is just one example of how GPS is being used to provide new services to tourists. "What we really have here is a technology that allows people to forget about the technology," says Jim Carrier of IntelliTours, a GPS tourism firm which began offering a similar service over a year ago in Montgomery, Alabama. The city is packed with sites associated with two important chapters in American history, the civil war of the 1860s and the civil-rights movement a century later. Montgomery has a 120-year-old trolley system, called the Lightning Route, which circulates around the downtown area and is mainly used by tourists. On the Lightning Route trolleys, GPS-triggered audio clips point out historical hotspots.

Other firms, such as CityShow in New York and GPS Tours Canada in Banff, Canada, offer hand-held GPS receivers that play audio clips for listening to while walking or driving. In South Africa, Europcar, a car-rental firm, offers a device called the Xplorer. As well as providing commentary on 2 000 points of interest, it can also warn drivers if they exceed the local speed limit.

If such services prove popular, the use of dedicated audio-guide devices could give way to a different approach. A growing number of mobile phones have built-in GPS or can determine their locations using other technologies. Information for tourists delivered via phones could be updated in real time and could contain advertisements. "Location-based services", such as the ability to call up a list of nearby banks or pizzerias, have been talked about for years but have never taken off. But aiming such services at tourists makes sense--since people are more likely to want information when in an unfamiliar place. It could give mobile roaming a whole new meaning.

When a traveler is in an unfamiliar place, ()

A. mobile roaming will meet his needs

B. he wants to know something about it

C. Location-based services play a key role in his traveling

D. he must understand the roles of Location-based services