问题 多项选择题 案例分析题

男性患者,65岁。反复腹胀纳差疲乏30年,腹痛腹泻1周,发热尿少3天而入院。30年前因反复出现腹胀纳差疲乏而被确诊为乙肝。近1年来自感易疲乏,体力下降,时感腹胀,消瘦。1周前因进食不洁饮料出现腹泻、腹痛,服药后腹泻好转;但近3天出现发热,明显腹痛、腹胀,尿黄,尿量明显减少。家人反映近日患者有轻度性格和行为异常。入院后查体:意识尚清,但烦躁多语。慢性肝病面容,巩膜轻度黄染,肝掌明显,颈部及上胸部可见蜘蛛痣数枚。心肺无明显异常;腹部膨隆,脐下有压痛,轻度反跳痛,腹水征阳性。急诊化验:血常规:WBC10.8×10g/L,N0.89;电解质K+3.1mmol/L,Na+134mmol/L,Cl-98mmol/L,血氨为96μmol/L。

治疗措施包括()

A.联合抗感染

B.利尿,改善肾血液循环,保护肾功能

C.保肝,退黄

D.人工肝治疗

E.稳定内环境,腹水浓缩回输

F.维持水、电解质平衡

答案

参考答案:A, B, C, D, F

填空题
问答题


一、审证资料
1.合同资料

SALES CONTRACT

卖方: DALIAN LIGHT ELECTRICAL
Sellers: APPLIANCES CO. , LTD. Contract No: 09SGQ468001
Date: APR. 22, 2009
地址:Signed at: DALIAN
Address: 10 WUSI ROAD, DALIAN, CHINATelex: 86-411-84815229
Fax: 86-411-84815229
Buyers: ASADE TRADING CORP. Telex: ______
Address: AKEDSANTERINK AUTO P. O. BOX 9, FINLAND Fax: ______
This Sales Contract is made by and between the Sellers and the Buyers, whereby the Sellers agree to sell and the Buyers agree to buy the under - mentioned goods according to the terms and eonditions stipulated below:
(1)货号、品名及规格Name of Commodity and Specifications(2)数量Quantity(3)单位Unit

(4) 单位

Unit Price

(5)金额

Amount

HALOGEN FITTING W5009600PCSPCCIF HELSINKIUSD3.60/PCUSD 34560.00
10% more or less both in amount and quantity allowedTotal AmountUSD 34560.00
(6)Packing: 12 PCS IN A CARTON (7) Delivery from DALIAN to HELSINKI (8)Shipping Marks: N/M (9) Time of Shipment:
Within (30) days after receipt of IMC allowing transshipment and partial shipment. (10) Terms of Payment :
By 100% Confirmed irrevocable Letter of Credit in favor of the Sellers to be available by sight draft to be opened and to reach China before MAY 1, 2009 and to remain valid for negotiation in China until the 15th days after the foresaid Time of Shipment. L/C must mention this contract number. IMC advised by BANK OF CHINA, DALIAN BRANCH. All banking Charges outside China (the mainland of China ) are for account of the Draw-ee. (11) Insurance:
To be effected by Sellers for 110% of full invoice value covering FPA up to HELSINKI (12) Arbitration:
All dispute arising from the execution of or in connection with this contract shall be settled amicably by negotiatin. In case no settlement can be reached through negotiation the case shall then be submit China International Eonomic & Trade Arbitration Commision. In Dalian (or in Beijing) for arbitration in act with its sure of procedures. The arbitral award is final and binding upon both parties for setting the Disputes. The fee, for arbitration shall be borne by the losing party unless otherwise awarded.
The Seller (张三) The Buyer (LINA)
2.信用证资料
Issue of Documentary Credit

Issuing Bank : METITA BANK LTD. , FINLAND
Doc. Credit No.: REVOCABLE
Credit Number : LRT0902457
Date of Issue : 090428
Expiry: Date 090412 Place FINLAND
Applicant : ASADE TRADING CO.
AKEDSANTERINK AUTO P. O. BOX 9, FINLAND
Beneficiary : DALIAN LIGHT ELECTRICAL APPLIANCES CO. , LTD.
10 WUSI ROAD, DALIAN, CHINA
Amount: USD 3 456.00 (SAY US DOLLARS THIRTY FOUR
THOUSAND FIVE HUNDRED AND SIXTY ONLY)
Pos./Neg. Tol. (%) : 5/5
Available with/by : ANY BANK IN ADVISING COUNTRY BY NEGOTIATION
Draft at… : DRAFTS AT 20 DAYS’ SIGHT FOR FULL INVOICE VALUE
Partial Shipments : Not Allowed
Transshipment : Allowed
Loading in Charge : Dalian
For Transport to : HELSINKI
Shipment Period: AT THE LATEST MAY 30, 2009
Descript. of Goods : 960PCS OF HALOGEN FITFING W500, USD6. 80 PER PC AS
PER SALES CONTRACT 09SG468001 DD 22, 04, 09 CIF HESINKI
Documents Required : * COMMERCIAL INVOICE 1 SIGNED ORIGINAL AND 5 COPIES
* PACKING LIST 1 SIGNED ORIGINAL AND 5 COPIES
* FULL SET OF CLEAN ON BOARD MARINE BILLS OF LAD-
ING, MADE OUT TO ORDER, MARKED" FREIGHT PRE-
PAID" AND NOTIFY APPLICANT (AS INDICATE ABOVE)
* GSP CERTIFICATE OF ORIGIN FORM A, CERTIFYING GOODS
OF ORIGIN IN CHINA, ISSUED BY COMPETENT AUTHORITIES
* INSURANCE POLICY/CERTIFICATE COVERING ALL RISKS
AND WAR RISKS OF PICC. INCLUDING WAREHOUSE TO
WAREHOUSE CLAUSE UP TO FINAL DESTINATION AT
HELSINKI, FOR AT LEAST 120 PCT OF CIF-VALUE.
* SHIPPING ADVICES MUST BE SENT TO APPLICANT WITH-
IN 2 DAYS AFTER SHIPMENT, ADVISING NUMBER OF
PACKAGES, GROSS & NET WEIGHT, VESSEL NAME, B/L
NO. AND DATE, CONTRACT NO. , VALUE.
Presentation Period : 5 DAYS AFTER ISSUANCE DATE OF SHIPPING DOCUMENT
Confirmation : WITHOUT
INSTRUCTIONS : THE NEGOTIATION BANK MUST FORWARD THE DRAFTS
AND ALL DOCUMENTS BY REGISTERED AIRMAIL DIRECT
TO US IN TWO CONSECUTIVE LOTS. UPON RECEIPT OF
THE CRAFTS AND DOCUMENTS IN ORDER. WE WILL RE-
MIT THE PROCEEDS AS INSTRUCTED BY THE NEGOTIAT-
ING BANK.
二、审证要求
根据销售合同审核上述信用证内容,找出信用证内容的不符点,并在下面详细列出:
1._________________________________
2._________________________________
3._________________________________
4._________________________________
5._________________________________
6._________________________________
7._________________________________
8._________________________________
9._________________________________
10._________________________________
11._________________________________
12._________________________________
13._________________________________
14._________________________________