问题 多项选择题 案例分析题

患者男性,52岁,于2006年9月26日因“黑便5小时”入院。患者既往有肝炎、肝硬化病史5年,于2005年3月、11月及2006年4月因“肝硬化腹水”先后3次住院,病情好转出院,出院后一直服用保肝药物。本次入院前自觉乏力症状加重,恶心、未吐,排暗红色血便4次,量约1600ml。入院后查体:贫血貌,血压66∕31mmHg(1mmHg=0.133kPa),全身皮肤黏膜及巩膜中度黄染,心肺未见异常,肝肋下未触及,脾左肋下7cm,移动性浊音阴性,双下肢无水肿。实验室检查:血红蛋白63g∕L,血小板(PLT)50×109∕L,总胆红素68μmol∕L,结合胆红素19μmol∕L,丙氨酸转氨酶(ALT)65U∕L,天冬氨酸转氨酶(AST)85U∕L,凝血酶原时间(PT)20秒,凝血酶原活动度(PTA)0.41,血钠127mmol∕L。

患者初步诊断可能有哪些疾病()

A.肝炎后肝硬化失代偿期

B.上消化道出血

C.原发性肝癌

D.继发性血小板减少症

E.电解质紊乱

F.失血性贫血

答案

参考答案:A, B, D, E, F

阅读理解

阅读理解。

     People from East Asia tend to have more difficulty than those from Europe in distinguishing facial

expressions-and a new report published online in Current Biology explains why.

     Rachael Jack, University of Glasgow researcher, said that rather than scanning evenly (均匀的) across

a face as Westerners do, Easterners fix their attention on the eyes.

     "We show that Easterners and Westerners look at different face features to read facial expressions,"

Jack said. "Westerners look at the eyes and the mouth in equal measure, whereas Easterners favor the eyes

and neglect (忽略) the mouth."

     According to Jack and her colleagues, the discovery shows that human communication of emotion is

more complex than previously believed. As a result, facial expressions that had been considered universally

recognizable cannot be used to reliably convey emotion in cross-cultural situations.

     The researchers studied cultural differences in the recognition of facial expressions by recording the eye

movements of 13 Western Caucasian and 13 East Asian people while they observed pictures of. expressive

faces and put them into categories: happy, sad, surprised, fearful, disgusted, angry, or neutral. They compared

how accurately participants read those facial expressions using their particular eye movement strategies.

     It turned out that Easterners focused much greater attention on the eyes and made significantly more

errors than did Westerners. "The cultural difference in eye movements that they show is probably a reflection

of cultural difference in facial expressions," Jack said. "Our data suggest that whereas Westerners use the

whole face to convey emotion, Easterners use the eyes more and mouth less."

     In short, the data show that facial expressions are not universal signals of human emotion. From here on,

examining how cultural factors have diversified these basic social skills will help our understanding of human

emotion. Otherwise, when it comes to communicating emotions across cultures, Easterners and Westerners

will find themselves lost in translation.

1. The discovery shows that Westerners _____. [ ]

A. pay equal attention to the eyes and the mouth

B. consider facial expressions universally reliable

C. observe the eyes and the mouth in different ways

D. have more difficulty in recognizing facial expressions

2. What were the people asked to do in the study? [ ]

A. To make a face at each other.

B. To get their faces impressive.

C. To classify some face pictures.

D. To observe the researchers' faces.

3. What does the underlined word"they" in Paragraph 6 refer to? [ ]

A. The participants in the study.

B. The researchers of the study.

C. The errors made during the study.

D. The data collected from the study.

4. In comparison with Westerners, Easterners are likely to _____. [ ]

A. do translation more successfully

B. study the mouth more frequently

C. examine the eyes more attentively

D. read facial expressions more correctly

5. What can be the best title for the passage? [ ]

A. The Eye as the Window to the Soul

B. Cultural Differences in Reading Emotions

C. Effective Methods to Develop Social Skills

D. How to Increase Cross-cultural Understanding

填空题