患者女，68岁，因“腹痛、发热、巩膜黄染3d，嗜睡、低血压7h”入_爱下问搜题

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患者女，68岁，因“腹痛、发热、巩膜黄染3d，嗜睡、低血压7h”入院。无胸闷、气促等其他不适，无其他系统病史。诊为急性梗阻性化脓性胆管炎行急诊手术。术后血压低，心率快，转入ICU。入科查体：T39.0℃，HR125次/min，R24次/min，BP86/45mmHg；巩膜黄染，意识障碍，心、肺（－），腹胀。胸部X线片：两肺纹理增多。ECG示：窦性心动过速，ST-T改变、电轴左偏。

患者入室后急查血常规：WBC26×10⁹/L，Hb75g/L，PLT32×10⁹/L；血生化：血浆总胆红素208mmol/L，Scr341μmol/L，BUN23mmol/L。结合病史及检查结果，应该给予的处理有（）

A.选用强效广谱抗生素行抗感染治疗

B.用天然/人工胶体或晶体液持续补液直到血流动力学得到改善

C.使用低剂量多巴胺作为肾保护药

D.输注血液制品，使血红蛋白维持在100g/L以上

E.急查血气分析，了解酸碱平衡

F.使用质子泵抑制剂预防应激性溃疡导致的上消化道出血

答案

参考答案：A, B, E, F

完形填空

完形填空。

     When the Americans   1 ready to send their first man to the moon, an old Frenchman was
watching them on the television in the TV room of a restaurant.
      There was an Englishman in the room,   2 , and he said to the Frenchman, "The Americans
are very clever (聪明), aren't they? They are going to send some men to the moon. It's a very long
way   3 0ur world."
     "Oh, that's   4 ," The Frenchman answered quickly. "The   5   are going to send some men to the
sun in a few   6 time. That's   7 farther away than the moon, you know."
      The Englishman was very   8 when he heard this. "Oh, yes, it is, " he said. "but the sun is too
hot for people to   9 ."
      The Frenchman laughed and answered, "Well, we aren't   10 , you know. We will not go to
the sun during the day, of course. We will go there during the night."

( )1. A. are getting
( )2. A. also
( )3. A. from
( )4. A. nothing
( )5. A. Englishmen
( )6. A. month's
( )7. A. a little
( )8. A. surprise
( )9. A. go
( )10. A. clever

B. were getting
B. either
B. away
B. something
B. Japanese
B. months
B. much
B. surprising
B. go to
B. happy

C. were got
C. too
C. to
C. anything
C. Frenchmen
C. months's
C. very
C. surprised
C. go there
C. sorry

D. getting
D. neither
D. far
D. everything
D. Egyptians
D. months'
D. more
D. surprisedly
D. go away
D. foolish (愚蠢的 )

多项选择题

元认知知识包括( )。

A．对个人作为学习者的认识

B．对任务的认识

C．对有关学习策略的认识

D．对学习策略使用方面的认识

E．对教师的认识