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问题 单项选择题

男性，58岁，病人持续性寒战、高热2周．伴有头痛、恶心等，近3天感会阴部有坠胀感，便意不尽，排尿不适，大便有黏液。

病人接受手术治疗以后，最有可能出现下列哪种情况

A．肛旁脓肿发作

B．切开引流后形成肛瘘

C．大便失禁

D．直肠黏膜脱垂

E．形成慢性肛裂

答案

参考答案：B

解析：高位肛周脓肿切开引流后可形成肛瘘。

填空题

Most "unassertive" people are not confident and take no for an answer much too easily. There is a growing awareness in our society that this tendency (1) the rights of large numbers of people. For example, in recent years there has been an upsurge in (2) and pressure groups. This is a (3) as there will always be a need for such organizations to (4) individuals and minorities in a competitive society. The danger is that we (5) for our rights and lose the art of asserting ourselves. It is better for (6) with other people if you can learn (7) for yourself.
Now, we have to learn to ignore some of the (8) that may be ringing in our unconscious minds, such as: "If you ask once more, I’ll flatten you", and " (9) ".
The main technique that we use in (10) to practice the art of persistence is called Broken Record. (11) we hear one sentence over and over again until we reach screaming pitch and (12) .
Broken Record is the skill of being able to repeat over and over again, (13) , what it is you want or need, until the other person gives in or (14) .
Now, this technique is extremely useful for dealing with situations where your rights are clearly (15) , or coping with situations where you are likely to be diverted by clever, (16) .
The beauty of using Broken Record is that you (17) because you know exactly what you are going to say, however (18) the other person tries to be.
As with most assertive techniques, it must be used appropriately. It is (19) and is not designed to foster deep, interesting conversations and friendships with people! It is primarily of use in situations where (20) .
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单项选择题 案例分析题

男性，12岁，体重30kg，于户外玩耍时不慎被烧伤，致头面部、双手、双足、双小腿烧伤。

患者第二个24小时的输液总量是（）

A.第一个24小时计算胶、晶体总量的1／2（另加2000ml葡萄糖溶液）

B.第一个24小时实际输入胶、晶体总量的1／2（另加2000ml葡萄糖溶液）

C.第一个24小时计算胶、晶体总量的1／2，其中胶、晶体之比1：1（另加2000ml葡萄糖氯化钠溶液）

D.第一个24小时计算胶、晶体总量的1／2，其中胶、晶体之比1：1（另加2000ml葡萄糖溶液）

E.第一个24小时计算胶、晶体总量的1／2（另加3000ml葡萄糖氯化钠溶液）
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