问题
单项选择题 A3/A4型题
患者女，69岁。乙肝后肝硬化30余年。3天前聚餐后出现意识恍惚，伴行为反常，病情逐渐加重。查体：巩膜黄染，不能唤醒，腱反射消失。血氨300μmol/L。诊断：肝性脑病。
若该患者家属要求患者立即短暂苏醒，下列药物可能对患者有效的是（）
A.氯苯那敏
B.氟马西尼
C.异丙嗪
D.氯雷他定
E.氯丙嗪
答案
参考答案：B
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患者女，69岁。乙肝后肝硬化30余年。3天前聚餐后出现意识恍惚，伴行为反常，病情逐渐加重。查体：巩膜黄染，不能唤醒，腱反射消失。血氨300μmol/L。诊断：肝性脑病。
若该患者家属要求患者立即短暂苏醒，下列药物可能对患者有效的是（）
A.氯苯那敏
B.氟马西尼
C.异丙嗪
D.氯雷他定
E.氯丙嗪
参考答案：B
I can still remember the first day when I met my best friend. She had just moved into the neighborhood and her grandmother brought her down to 1 me. I hid behind my mother and she hid behind her grandmother, 2 to look at each other. Soon, we lost the shyness and started playing with each other. In 7th grade, I first lost 3 with her. She was 4 family problems and I deserted her. 5 of my new friends liked her 6 they knew she had “problems”. It was last year when I noticed the 7 . I guess I was just to catch up in high school to realize she 8 someone there for her. I didn’t know 9, but she started cutting herself! She was 10 from clinical depression(抑郁), and had to go to a 11 during the day. I was very upset at first but with the late night 12 , and meeting each other at midnight. I wanted to be there for her since her new best friend once 13 her since people were calling her crazy. Yesterday she came to me and said this:“I never knew what a best friend was 14 you were the only person that would 15 me from cutting; the only person that ever made me feel better about myself and my problems. You don’t know this but I was trying to 16 myself that night you called me. You didn’t even know you were 17 me. I owe you so much.” We both cried. And I guess a kind of 18 from my life is:“never give up on your friends”. Even if they aren’t as cool as others, or people think they are 19 , they need someone there. If you desert them, you will only be 20 yourself. So if a friend needs you, and you care for them, you can never desert them.
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