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病历摘要：患者男性，68岁。3天前因受凉感冒，而致发热、剧咳、咯大量黄色脓痰、气急、发绀，今晨起更出现神志模糊，躁动不安，故急送来院就诊。有吸烟史30余年，出现慢性咳嗽、咳痰已20多年。体检：T39.2℃，P122次/分，R30次/分，BP140/90mmHg。半卧位，意识模糊，唇颊发绀；球结膜充血。实验室检查：血液红细胞计数5.5×1012/L，血红蛋白含量160g/L；白细胞计数13×109/L，其中中性粒细胞占0.92；动脉血氧分压6.9kPa，二氧化碳分压8kPa。

该病例发生缺氧的主要机制为（）。

A.心脏泵血功能减退

B.通气功能减退

C.通气与血流比例失调

D.肺泡壁弹性减退

E.肺纤维化

F.肺毛细血管增加

G.肺血流减少

H.肺毛细血管减少

答案

参考答案：B, C, H

单项选择题

An Indian anthropologist, Chandra Thapar, made a study of foreign cultures, which had customs similar to (91) of his native land. One culture in (92) fascinated him because it reveres one animal (93) sacred, much as the people in India (94) the cow. The things he discovered might interest you (95) you will be studying India as part of this course.
The tribe Dr. Thapar (96) is called the Asu and is found on the American continent north of the Tamhumara of Mexico. Though it seems to be a (97) developed society of its type, it has an overwhelming (98) with the care and feeding of the rac—an animal much like a bull in size, strength and temperament. In the Asu tribe, it is almost a social (99) to own at least one (100) not more rats. People not possessing at least one are (101) in low esteem by the community because they are too poor to (102) one of these beasts properly. Some members of the tribe, to (103) their wealth and social prestige, even own (104) of racs.
(105) the rac breed is not very healthy and usually does not live more than five to seven years. Each family invests large (106) of money each year to keep its rac healthy and shod, for it has a tendency to throw its shoes often. There are rac (107) in each community, perhaps more than one if the community is particularly (108) . These specialists, however, due to the long period of ritual training they must undergo and (109) the difficulty of obtaining the right selection of charms to treat the rac, demand (110) offerings whenever a family must treat an ailing rac.

A．as

B．if

C．with

D．when
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单项选择题

组织目标系统的最高层是（）。

A、社会经济目标

B、专业目标

C、宗旨任务

D、部门目标
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