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简要病史：男性，58岁，呕血2天，血压下降1h，既往有慢性肝脏病史。

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参考答案：

初步诊断：肝硬化食管静脉曲张破裂出血，失血性休克。

1.问诊内容（共13分）（1）现病史（10分）①根据主诉及相关鉴别询问（8分）发病诱因，暴饮暴食、饮酒、进食粗糙食物等。（1分）呕血的性状、量与次数，是否有黑便、大便次数、性状及量。（3分）休克的表现，如头晕、乏力、心悸、出汗及尿量等情况，意识变化。（2分）伴随症状，有无腹痛、恶心、反酸、烧灼感、腹胀、黄疸等症状。（2分）②诊疗经过（2分）是否到医院就诊过，做过哪些检查。（1分）治疗用药情况。（1分）（2）相关病史（3分）是否有药物过敏史。（1分）与该疾病有关的其他病史，有无胃炎、消化性溃疡、胆道疾病史，有无类似发作、全身出血、服用非甾体消炎药。（2分）

2.问诊技巧（2分）条理性强、能抓住重点。（1分）能够围绕病情询问。（1分）

单项选择题

患者因红斑狼疮出现眼睑、下肢浮肿，胸胁胀满，面色无华；腰膝酸软，面热肢冷，口干；舌淡胖，苔少，脉沉细．其中医辨证为( )

A．热毒炽盛证

B．阴虚火旺证

C．脾肾阳虚证

D．脾虚肝旺证

E．气滞血瘀证
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填空题

a. The government is desperate to sell the most troubled of South Korea’s big companies to foreigners. This, ministers believe, is the best way to accelerate the corporate restructuring begun in the wake of the Asian financial crisis in 1997, and to clear the way for more sustainable economic growth.
b. GM’s deal with Daewoo Motor marks the end of an even longer and more painful process. Ford almost bought the car maker two years ago, but pulled out after deciding that Daewoo would be too hard to turn round.
c. Micron had offered to pay about MYM3.4 billion for Hynix’s core memory business, and to take a minority stake in the non—memory arm. Analysts predict that the government will put pressure on creditors to rescue a deal with Micron or seek a new buyer, as liquidation is too risky to contemplate in an election year.
d. This week, after months of on—off talks with foreign suitors, the government’s plans moved a big step forward, and then an equally big step back.
e. But GM has much work to do to rebuild Daewoo’s damaged brand image and domestic market share, which hovers around 10% after reaching a high of 37% in 1998. GM has to fill holes in product lines by introducing sport—utility and multi—purpose vehicles, says Nick Reilly, former chief executive of Vauxhall, GM’s British subsidiary, and chief—executive—designate of GM—Daewoo now that he has sealed the deal.
f. GM has struck a good deal. Together with various undisclosed partners, it will hold a 67% stake in a new company, tentatively named GM—Daewoo. The American car maker will pay MYM251m for its own stake of 42%, but it will also assume MYM573m of Daewoo Motor’s debts. The acquisition is a key part of GM’s global expansion. The company has been trying to strengthen its foothold in Asia for some time.
g. On April 30th General Motors (GM) signed a contract to buy the bankrupt Daewoo Motor. But on the same day, the board of Hynix, a cash—strapped memory—chip giant, shocked the markets by rejecting a proposed takeover by Micron Technology, an American competitor.
h. His management team can expect trouble from South Korea’s aggressive unions along the way. In a sign of things to come, the signing ceremony was moved to a secret location after a group of union activists occupied the hotel where it was due to take place.
i. Buying a presence in South Korea was seen as particularly urgent, since imports account for only 3% of the 1.5mcars sold in the country each year. GM hopes to use Daewoo’s production lines to make budget cars that will be sold under the Daewoo brand in most markets.
j. GM had been talking with Daewoo for over a year. It has agreed to buy two of the company’s four domestic car plants, a factory in Vietnam, a parts unit in the Netherlands and nine overseassales arms (all in Europe except one, in Puerto Rico of all places). Between them, the two domestic factories can churn out a combined 530,000 cars and 30,000 commercial vehicles a year.

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