搜题请搜索小程序“爱下问搜题”
问题 多项选择题 案例分析题

患者女，42岁，发作性咳喘5年余，春秋季易发作，每次发作持续1个月，当地医院诊断为“慢性支气管炎”，给予抗菌、镇咳、平喘治疗后可缓解。近2年病情加重，全年均有症状，当地医院诊断“哮喘”，给予“沙美特罗替卡松干粉吸入剂50/250μg，2次/d”治疗，患者自觉效果不佳未规律使用。

需要进行的检查包括（提示患者职业为教师，变应原检测结果为：猫、狗皮毛中度过敏，但患者及亲属家中未饲养宠物。追问病史，患者因为顾虑激素的不良反应未规律使用，且吸入药物的使用方法错误。经过医师的解释和药物吸入方法的传授后，患者开始规律吸入沙美特罗替卡松干粉吸入剂50/250μg，2次/d，1个月后复查，自述症状有改善，肺功能FEV占预计值的77%，但仍述间断喘息，患者追述近2年间断咳脓痰，有时痰为棕色。）（）

A.痰细菌培养＋药物敏感实验

B.诱导痰细胞分类计数

C.胸部CT

D.支气管镜检查

E.痰涂片抗酸杆菌

答案

参考答案：A, B, C, D, E

单项选择题

综合单价法中，当C＞C0时，则分项工程的利润的计算基数为( )。

A．直接工程费+间接费

B．人工费+机械费

C．人工费

D．直接工程费
查看答案
问答题

It’s no surprise that Jennifer Senior’s insightful, provocative magazine cover story, "I Love My Children, I Hate My Life," is arousing much chatter—-nothing gets people talking like the suggestion that child rearing is anything less than a completely fulfilling, life-enriching experience. Rather than concluding that children make parents either happy or miserable, Senior suggests we need to redefine happiness: instead of thinking of it as something that can be measured by moment-to-moment joy, we should consider being happy as a past-tense condition. Even though the day-to-day experience of raising kids can be soul-crushingly hard, Senior writes that "the very things that in the moment dampen our moods can later be sources of intense gratification and delight. "
The magazine cover showing an attractive mother holding a cute baby is hardly the only Madonna-and-child image on newsstands this week. There are also stories about newly adoptive—and newly single-morn Sandra Bullock, as well as the usual "Jennifer Aniston is pregnant" news. Practically every week features at least one celebrity morn, or mom-to-be, smiling on the newsstands.
In a society that so persistently celebrates procreation, is it any wonder that admitting you regret having children is equivalent to admitting you support kitten-killing It doesn’t seem quite fair, then, to compare the regrets of parents to the regrets of the children. Unhappy parents rarely are provoked to wonder if they shouldn’t have had kids, but unhappy childless folks are bothered with the message that children are the single most important thing in the world: obviously their misery must be a direct result of the gaping baby-size holes in their lives.
Of course, the image of parenthood that celebrity magazines like Us Weekly and People present is hugely unrealistic, especially when the parents are single mothers like Bullock. According to several studies concluding that parents are less happy than childless couples, single parents are the least happy of all. No shock there, considering how much work it is to raise a kid without a partner to lean on; yet to hear Sandra and Britney tell it, raising a kid on their "own" (read: with round-the-clock help) is a piece of cake.
It’s hard to imagine that many people are dumb enough to want children just because Reese and Angelina make it look so glamorous: most adults understand that a baby is not a haircut. But it’s interesting to wonder if the images we see every week of stress -free, happiness -enhancing parenthood aren’t in some small, subconscious way contributing to our own dissatisfactions with the actual experience, in the same way that a small part of us hoped getting "the Rachel" might make us look just a little bit like Jennifer Aniston.
查看答案