问题 单项选择题 A3/A4型题

男性,34岁。盖房子时因土墙垮塌砸伤左小腿。伤后35分钟被送往当地卫生院行清创缝合术。第2天夜间,患者感伤肢沉重感,行走困难,疼痛逐渐加剧,自觉发热,全身无力。次日,病情加重,急来院就诊。查体:T40℃,P130次/分,R20次/分,BP100/60mmHg。痛苦面容,贫血貌。表情淡漠,烦躁,呼吸急促。整个左小腿延至大腿肿胀明显,左小腿下1/3外侧有一4cm长而不规则缝合伤口,周围皮肤苍白、紧张发亮,伤口中有恶臭味的血性液和气泡溢出。触诊肢体有捻发音。实验室检查:RBC2.0×1012/L,Hb40%,WBC12×109/L,N90%。尿常规:血红蛋白尿。左小腿X线平片检查:肌群内有积气阴影。

根据患者情况,在其他治疗措施中,不必要的是()

A.多次少量输血

B.维持水、电解质和酸碱平衡

C.保持避光安静

D.给予三高(高热量、高蛋白、高维生素)饮食

E.保护心、肺、肝、肾功能,每日尿量>1500ml

答案

参考答案:C

判断题
单项选择题

The most thoroughly studied intellectuals in the history of the New World are the ministers and political leaders of seventeenth-century New England. According to the standard history of American philosophy, nowhere else in colonial America was “so much importance attached to intellectual pursuits.” According to many books and articles, New England’s leaders established the basic themes and preoccupations of an unfolding, dominant Puritan tradition in American intellectual life.

To take this approach to the New Englanders normally means to start with the Puritans’ theological innovations and their distinctive ideas about the church—important subjects that we may not neglect. But in keeping with our examination of southern intellectual life, we may consider the original Puritans as carriers of European culture, adjusting to New World circumstances. The New England colonies were the scenes of important episodes in the pursuit of widely understood ideals of civility and virtuosity.

The early settlers of Massachusetts Bay included men of impressive education and influence in England. Besides the ninety or so learned ministers who came to Massachusetts churches in the decade after 1629, there were political leaders like John Winthrop, an educated gentleman, lawyer, and official of the Crown before he journeyed to Boston. These men wrote and published extensively, reaching both New World and Old World audiences, and giving New England an atmosphere of intellectual earnestness.

We should not forget, however, that most New Englanders were less well educated. While few crafts men or farmers, let alone dependents and servants, left literary compositions to be analyzed, it is obvious that their views were less fully intellectualized. Their thinking often had a traditional superstitious quality. A tailor named John Dane, who emigrated in the late 1630s, left an account of his reasons for leaving England that is filled with signs. Sexual confusion, economic frustrations, and religious hope—all came together in a decisive moment when he opened the Bible, told bas father that the first line he saw would settle his fate, and read the magical words: "Come out from among them, touch no unclean thing, and I will be your God and you shall be my people." One wonders what Dane thought of the careful sermons explaining the Bible that he heard in Puritan churches.

Meanwhile, many settlers had slighter religious commitments than Dane’s, as one clergyman learned in confronting folk along the coast who mocked that they had not come to the New World fur religion. "Our main end was to catch fish.

The author holds that in the seventeenth-century New England ()

A. Puritan tradition dominated political life

B. intellectual interests were encouraged

C. politics benefited much from intellectual endeavors

D. intellectual pursuits enjoyed a liberal environment