问题 多项选择题 案例分析题

患者女,43岁,新疆喀什牧民,因“突发寒战、高热伴头痛、眩晕及全身肌肉酸痛2d”来诊。10d前患者有类似寒战、发热病史,治疗7d后,体温突转正常,伴大汗淋漓、全身乏力;2d前再次发作。查体:T39.5℃,P110次/min,BP100/70mmHg;巩膜轻度黄染,结膜及咽部充血,胸腹部散在点状出血性皮疹,腰背部皮肤见散在硬结,有抓痕;肝肋下3cm,有触压痛,脾肋下6cm;脑膜刺激征(-),病理反射未引出。

急诊应尽快做的处理包括()(提示:血常规:Hb80g/L,WBC2.0×109/L,N0.85,PLT50×109/L;尿常规:大量红细胞;ALT157U/L,TBil56μmol/L;肾功能正常;脑脊液:压力230mmH2O,常规及生化正常。腹部超声:肝、脾大。静脉滴注青霉素320万U,30min后,患者突然寒战、头痛剧烈,肢冷;BP90/60mmHg,HR120次/min。)

A.静脉注射地塞米松

B.静脉注射毛花苷C

C.静脉注射肾上腺素

D.输新鲜全血

E.吸氧

F.使用保肝降酶药物

G.静脉滴注甘露醇

H.补充液体

答案

参考答案:A, E, G, H

单项选择题
填空题

Will humans always be superior to machines

This statement actually consists of a series of three related claims: (1) machines are tools of human minds; (2) human minds will always be superior to machines; and (3) it is because machines are human ’tools that human minds will always be superior to machines. While I concede the first claim, whether I agree with the other two claims depends partly on how one defines "superiority," and partly on how willing one is to humble oneself to the unknown future scenarios.

(41) After all, would any machine even exist unless a human being invented it Of course not. Moreover, I would be hard-pressed to think of any machine that cannot be described as a tool. Even machines designed to entertain or amuse us—for example, toy robots, cars and video games, and novelty items—are in fact tools, which their inventors and promoters use for engaging in commerce and the business of entertainment and amusement.

(42) And, the claim that a machine can be an end in itself, without purpose or utilitarian function for humans whatsoever, is dubious at best, since I cannot conjure up even a single example of any such machine.

(43) As for the statement’s second claim, in certain respects machines are superior. We have devised machines that perform number-crunching and other rote cerebral tasks with greater accuracy and speed than human minds ever could. However, if one defines superiority not in terms of competence in performing rote tasks but rather in other ways, human minds are superior. Machines have no capacity for independent thought, for making judgments based on normative considerations, or for developing emotional responses to intellectual problems.

(44)Up until now, the notion of human-made machines that develop the ability to think on their own, and to develop so-called "emotional intelligence," has been pure fiction. Besides, even in fiction we humans ultimately prevail over such machines—as in the cases of Frankenstein’s monster and Hat, the computer in 2001: A Space Odyssey. Yet it seems presumptuous to assert with confidence that humans will always maintain their superior status over their machines. In other words, machines will soon exhibit the traits to which we humans attribute our own superiority.

(45) And insofar as humans have the unique capacity for independent thought, subjective judgment, and emotional response, it also seems fair to claim superiority over our machines. Besides, should we ever become so clever a species as to devise machines that can truly think for themselves and look out for their own well-being, then query whether these machines of the future would be "machines" anymore.

[A] Recent advances in biotechnology, particularly in the area of human genome research, suggest that within the twenty-first century we’ll witness machines that can learn to think on their own, to repair and nurture themselves, to experience Visceral sensations, and so forth.

[B] The statement is clearly accurate insofar as machines are tools of human minds.

[C] In sum, because we devise machines in order that they may serve us, it is fair to characterize machines as "tools of human minds."

[D] It’s hardly surprising that human-made machine can do the most works that belong to human before.

[E] In fact, it is because we can devise machines that are superior in these respects that we devise them--as our tools—to begin with.

[F] When we develop any sort of machine we always have some sort of end in mind—a purpose for that machine.

45()