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已婚女性，46岁，恶心、呕吐、发热、肌肉疼痛3天，无 * * 流血、瘙痒，无停经及妊娠史，近期有不洁性生活史。查体：T39.5℃，BP60/40mmHg，HR110次/分，昏睡，谵妄，皮肤广泛日晒斑样疹，满腹轻度触痛；妇科检查： * * 分泌物脓性，宫颈光滑，充血，有摆痛，宫体轻度压痛，右附件区可触及直径约6cm囊性包块，压痛明显。曾因急性化脓性阑尾炎行阑尾切除术，有青光眼。

下一步治疗措施包括（）。

A.纠正休克，控制感染

B.补充血容量

C.输血

D.监测尿量及生命体征

E.如血压继续下降，可用多巴胺

F.首选口服抗生素及中药

G.物理降温

H.青霉素过敏可用万古霉素及阿奇霉素

I.行子宫+双附件切除术

J.外用糖皮质激素治疗皮疹

K.应用阿托品

L.行腹腔镜探查术

答案

参考答案：A, B, E, G, H

单项选择题

被称为阴阳之“征兆”的是（）。

A.寒与热

B.水与火

C.明与暗

D.左与右

E.动与静
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单项选择题

In the United States, older people rarely live with their adult children. But in many other cultures children are expected to care (1) their aged parents. In some parts of Italy, the percentage of adult children who (2) with their parents (3) 65 to 70 percent. In Thailand, too, children are expected to take care of their elderly parents; few Thai elderly live (4) . What explains these differences in living arrangements (5) cultures Modernization theory (6) the extended family household to low levels of economic development. In traditional societies, the elderly live with their children in large extended family units for economic reasons. But with modernization, children move to urban areas, leaving old people (7) in (8) rural areas. Yet modernization theory cannot explain why extended family households were never common in the United States or England, or why families in Italy, which is fully modernized, (9) a p tradition of intergenerational living. Clearly, economic development alone cannot explain (10) living arrangements. Another theory associated intergenerational living arrangements with inheritance patterns. In some cultures, the stem family pattern of inheritance (11) . (12) this system, parents live with a married child, usually the oldest son, who then (13) their property when they die. The stem family system was once common in Japan, but changes in inheritance laws, (14) broader social changes brought (15) by industrialization and urbanization, have (16) the (17) .In 1960 about 80 percent of Japanese over 65 lived with their children; by 1990 only 60 percent did-a figure that is still high (18) U.S. standards, but which has been (19) steadily. In Korea, too, traditional living arrangements are (20) : the percentage of aged Koreans who live with a son declined from 77 percent in 1984 to 50 percent just 10 years later. Although most elderly Koreans still expect to live with a son, their adult children do not expect to live with their children when they grow old.

18（）

A.by

B.on

C.with

D.in
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