患者女，70岁，因“发热、乏力、嗜睡3d”来诊。查体：T38.5℃，BP90/50mmHg；嗜睡，瞳孔等大正圆，对光反射灵敏。双肺呼吸音清，无干、湿性啰音；HR100次/min，律齐，A2＞P2，无病理性杂音。腹软，无肌紧张，无压痛及反跳痛，肝、脾不大，墨菲征（－），肠鸣音正常；双下肢无水肿；病理反射未引出。血常规：WBC15×109/L，N0.90，CRP100mg/L。尿常规：WBC满视野/HP，RBC10~20个/HP，蛋白微量。胸部X线片：未见异常。
该患者最可能的诊断是（）
A.病毒性脑炎
B.社区获得性肺炎
C.急性肾盂肾炎
D.急性胆囊炎
E.急性阑尾炎
参考答案：C
| Does using a word processor affect a writer’s style The medium usually does do something to the message after all, even if Marshall McLuhan’s claim that the medium simply is the message has been heard and largely forgotten now. The question matters. Ray Hammond, in his excellent guide The Writer and the Word Processor (Coronet ￡2.95 pp224), predicts that over half of the professional writers in Britain and the USA will be using word processors by the end of 1995. The best-known recruit is Len Deighton, from as long ago as 1968, though most users have only started since the micro-computer boom began in 1980. Ironically word processing is in some ways psychologically more like writing in rough than typing, since it restores fluidity and provisionality to the text. The typist’s dread of having to get out the Tippex, the scissors and paste, or of redoing the whole thing if he has any substantial second thoughts, can make him consistently choose the safer option in his sentences, or let something stand which he knows to be unsatisfactory or incomplete, out of weariness. In word processing the text is loosened up whilst still retaining the advantage of looking formally finished. This has, I think, two apparently contradictory effects. The initial writing can become excessively sloppy and careless, in the expectation that it will be corrected later. That crucial first inspiration is never easy to recapture though, and therefore, on the other hand, the writing can become over-deliberated, lacking in flow and spontaneity, since revision becomes a larger part of composition. However these are faults easier to detect in others than in oneself. For most writers, word processing quite rapidly comes to feel like the ideal method (and can always be a second step after drafting on paper if you prefer). Most of the writers interviewed by Hammond say it has improved their style ("immensely", says Deighton). Seeing your own words on a screen helps you to feel cool and detached about them. Thus it is not just by freeing you from the labour of mechanical re-typing that a word processor can help you to write. One author (Terence Feely) claims it has increased his output by 400%. Possibly the feeling of having a reactive machine, which appears to do things, rather than just have things done with it, accounts for this — your slave works hard and so do you. Are there no drawbacks It costs a lot and takes time to learn — "expect to lose weeks of work", says Hammond, though days might be nearer the mark. Notoriously it is possible to lose work altogether on a word processor, and this happens to everybody at least once. The awareness that what you have written no longer exists at all anywhere, is unbelievably enraging and baffling. |
As far as learning to use a word processor is concerned, the author of the passage mentions a number of drawbacks EXCEPT that______.
A．(A) it takes time
B．(B) it is costly
C．(C) the user may rely too much on the machine
D．(D) the user may lose weeks of work
