问题 多项选择题 案例分析题

患者,男,45岁,有慢性乙肝病史15年,近1年来自感体力下降,时感腹胀,消瘦。1周前因进食不洁饮食出现腹泻、腹痛,服药后腹泻好转,但近3天出现发热,明显腹痛、腹胀,小便发黄,尿量明显减少。入院后查体:意识尚清,但患者烦躁多语,慢性肝病面容,巩膜轻度黄染,明显肝掌,可见蜘蛛痣,心肺未见异常;腹部膨隆,脐下腹有压痛,轻度反跳痛,腹水征阳性。急诊化验:血常规:WBC9.8×109/L,中性89%;电解质K+3.4mmol/L,Na+137mmol/L,Cl-98mmol/L。

该患者目前的并发症不包括()

A.自发性腹膜炎

B.肝肾综合征

C.结核性腹膜炎

D.腹水

E.肝性脑病

F.食管胃底静脉曲张

答案

参考答案:C, F

填空题
完形填空

Lang Lang is a world-class young pianist who grew up in Shenyang. He went to a piano school in Beijing when he was just eight. “You need __21__,” his father said. “But if you don’t work hard, no fortune will come.”

What made him sad was __22__ his piano teacher in Beijing didn’t like him. “You have no talent. You will never be a pianist.” As a nine-year-old boy, Lang Lang was badly __23__. He decided that he didn’t want to be a pianist any more. For the next two weeks, he didn’t touch the piano. Wisely, his father didn’t push, but waited.

Luckily, the day came when his teacher asked him to play some holiday songs. He didn’t want to, but as he placed his fingers on the piano keys, he __24__ that he could show others that he had talent __25__. That day he told his father what he had been waiting to hear—that he wanted to study with a new teacher. From that point on, everything turned around.

He started __26__ competitions. In the 1994 International Young Pianists Competition, when it was __27__ that Lang Lang had won, he was too excited to hold back his tears. Soon __28__ was clear that he couldn’t stay in China forever—he had to play on the world’s big stages. In 1997 Lang Lang moved again, this time to Philadelphia, USA. There he spent two years practicing, and by 1999 he had worked hard enough for fortune to take over. After his __29__ performance at Chicago’s Ravinia Festival, gigs in Lincoln Centre and Carnegie Hall started __30__ in, Lang Lang finally worked to reach the place where fortune spots him, and lets him shine.

21. A. exercise                        B. fortune                     C. knowledge                D. wealth

22. A. whether                           B. why                         C. when                       D. that

23. A. hurt                          B. weakened                 C. ruined                      D. frightened

24. A. seemed                     B. admitted                   C. noticed                     D. realized

25. A. in all                        B. above all                  C. after all                    D. at all

26. A. receiving                  B. accepting                  C. winning                   D. beating

27. A. told                          B. mentioned                C. announced                D. recognized

28. A. this                          B. it                             C. that                          D. what

29. A. successful                 B. cheerful                   C. respectful                 D. meaningful

30. A. pulling                     B. breaking                   C. falling                      D. pouring