患者女，48岁，因“腹痛、腹泻半年，加重伴呕吐15d”来诊。患者频繁呕吐，夜间吐酸性液约1500ml，腹泻10余次，为黄色稀水样便，伴消瘦、乏力、食欲减退。查体：BP100/60mmHg；心、肺无异常；腹平软，剑突下压痛，肝、脾不大，移动性浊音（－），肠鸣音亢进。

下一步治疗应包括（）（提示：实验室检查：血钾3.0mmol/L；血清胃泌素500pg/ml；胃液pH3.2。胃镜：食管多处糜烂及陈旧性出血，胃底黏膜粗大、肥厚，胃窦部黏膜明显充血，十二指肠球部及降部可见数处大小不等糜烂及溃疡。）

A.予质子泵抑制剂

B.予胃黏膜保护剂

C.补液

D.予生长抑素类似物奥曲肽

E.静脉应用喹诺酮类抗生素

F.纠正低钾血症

It is clear that we are rapidly becoming a global culture. New forms of information technology, intercontinental travel, and the complex nature of economics are all elements in such a change. Japan, an ancient (1) culture, now dominates the West economically while its own traditional (2) is rapidly becoming (3) in the process.
It does not take a great deal of analysis to see the vast interchanges of cultural influences in the world today. The thirst for (4) fashions, popular music, and the other elements of consumer culture (5) great inroads in non-Western lands while the West seeks out everything from the religious traditions of the Ease (6) the art and music these countries produce. In the field of (7) , to cite one conspicuous example, contemporary readers seek books (8) those of the West. Latin American authors, as well as those from Africa, Asia, and India, now find appreciative audiences.
A (9) culture does not mean a unitary or "one world" culture. It does mean that people are increasingly aware of the diversity of culture. World events enter our living rooms so that things that may once have been (10) of as distant (11) now greet us immediately and in color. We may watch those events on a television made in Japan while wearing clothes sewn in Thailand and shoes made in Hungary while snacking (12) food grown in Mexico. Such an economic interdependence reflects the reality of a global banking system, the globalization of the economy, and the increasing (13) of information and information technologies.
(14) has this shrinking of distances (and attitudes) become more clear than in the academic debates over what constitutes a liberal (15) education today. Is it possible (or desirable) to have the Western core of humanities (16) the center-piece of a curriculum The place of non-Western and non-traditional cultures as part of the general (17) of a student is hotly argued in educational circles. The very fact of that discussion (18) to the emergence of a global consciousness with a continued shrinking of parochial attitudes. The (19) that such globalization is hotly debated only emphasizes the profound nature of the (20) taking place in our culture.