问题 单项选择题

男性,40岁,8个月前行二尖瓣机械瓣置换术,近1个月出现发热,体温波动在37.8~38.8℃,化验Hb8.2g/L,尿RB:5~6个/HP,血培养结果未回报。治疗应首选的药物是()

A.青霉素

B.链霉素

C.头孢菌素

D.两性霉素

E.氯霉素

答案

参考答案:A

解析:患者为晚期人工瓣心内膜炎,感染以草绿色链球菌为主,首选青霉素治疗。

单项选择题

Malthusian fears that population growth will outstrip food supplies have been widely discounted as food production has kept well ahead of growing human numbers in the last half century. While population doubled, food supply tripled, and life expectancy increased from 46 in the 1950s to around 65 today. But more recently, some experts have once again been sounding the alarm about a possible food crisis.

The reason lies in the combined impact of many factors including climate change, forest denudation, land degradation, water shortage, declining oil supplies, species extinction, destruction of coastal ecosystems and the growing demands for a meat-rich diet from newly developed parts of the world.

At the root of all these problems has been the ruthless exploitation of the earth’s resources, fuelled by growing affluence in some parts of the world and desperate poverty in others. Between 1980 and 2000, global population rose from 4.4 billion to 6.1 billion, while food production increased 50 per cent. By 2050, the population is expected to reach 9 billion.

Data shows that while grain yields per acre have been increasing, the rate of increase has been slowing since the days of the Green Revolution in the 1970s. Most of the benefits of irrigation, machinery, fertilizer and plant breeding have already been realized. The production of grain per acre is close to the maximum obtainable through photosynthesis.

To keep up with the growth in human population, more food will have to be produced over the next 50 years than has been during the past 10,000 years combined, said the participants of the recent UN-backed forum in Iceland on sustainable development. It is, of course, possible that new technologies, smart environmental management and sensitive social policies will combine to good effect to usher in a new green revolution. But as grain reserves have fallen to their lowest level for many years, this cannot be guaranteed.

At the 1996 World Food Summit political leaders from 186 countries pledged to halve the number of hungry people in the world by the year 2015, or a reduction of 20 million each year. At that time, about 800 million people were reported to suffer from under- nourishment. In 2007 estimates from the UN Food and Agriculture Organization (FAO) suggest that there are 854 million people who do not get enough to eat every day. "Far from decreasing, the number of hungry people in the world is currently increasing," said FAO Director-General Jacques Diouf. (Of course, world population has increased by some 800 million in that time, so food supplies have kept up relatively well, but have failed to reach an increasing number, let alone reduce the total going hungry.)

The food crisis may come as a result of()

A. the population’s getting bigger than before

B. some experts’ exaggeration

C. the joint force of a variety of factors

D. people’s turning a blind eye to the situation

单项选择题