问题 单项选择题

女性,26岁,已婚。孕2产1。现孕40周,来院途中分娩,总产程1小时,产后5天出现寒战、高热、下腹痛,无乳胀及腹泻,妇科检查: * * 内有脓血,宫颈轻度裂伤,子宫大而软,压痛明显。应首先考虑的是

A.乳腺炎

B.宫颈炎

C.产褥感染

D.产后细菌性痢疾

E.泌尿系统感染

答案

参考答案:C

解析:据此患者病情:总产程1小时,宫颈轻度裂伤,提示患者因急产导致富颈裂伤。产后5天出现寒战、高热、下腹痛,无乳胀及腹泻,排除急性乳腺炎及急性肠胃炎或产后细菌性痢疾。且妇科检查: * * 内有脓血,子宫大而软,压痛明显,提示生殖道感染。据此诊断为产褥感染。 [考点] 产褥感染的诊断。

单项选择题

The number of speakers of English in Shakespeare’s time is estimated to have been about five million. Today it is estimated that some 260 million people speak it as a native language, mainly in the United States, Canada, Great Britain, Ireland, South Africa, Australia and New Zealand. In addition to the standard varieties of English found in these areas, there are a great many regional and social varieties of the language as well as various levels of usage that are employed both in its spoken and written forms.

In fact, it is impossible to estimate the number of people in the world who have acquired an adequate working knowledge of English in addition to their own languages. The purpose for English learning and the situations in which such learning takes place are so varied that it is difficult to explain and still more difficult to judge what forms an adequate working knowledge for each situation.

The main reason for the widespread demand for English is its present-day importance as a world language. Besides serving the indefinite needs of its native speakers, English is a language in which some of important works in science, technology, and other fields are being produced, and not always by native speakers. It is widely used for such purposes as meteorological and airport communications, international conferences, and the spread of information over the radio and television networks of many nations. It is a language of wider communication for a number of developing countries, especially former British colonies. Many of these countries have multilingual populations and need a language for internal communication in such matters as government, commerce, industry, law and education as well as for international communication and for entrance to the scientific and technological developments in the West.

Which of the following statements is NOT true()

A. Some 260 million people in the world have an adequate working knowledge of English.

B. There are some 260 million native speakers of English in the world.

C. It is almost impossible to estimate the number of people with an adequate working knowledge of English.

D. People learn English for a variety of reasons.

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