病历摘要：患者女性，20岁，56kg。从五楼坠下，致右肱骨干、右股骨干、右小腿骨折，多处软组织挫伤。查BP70／30mmHg，HR120次／min，Hb9．8g，Hct29％。经输平衡液500ml、代血浆500ml后，送手术室。准备行骨折切开复位，内固定术。
引起低氧的原因哪一项不可能术毕提示：病人自主呼吸恢复，BP110／70mmHg，HR112次／min，Vt450ml，R26次／min，吸入氧浓度95％，SpO90％，PaO54mmHg，PaCO30mmHg。（）
A.肺挫伤
B.肌松药
C.休克
D.输血，输液
E.DIC
参考答案：B
| Electronic mail has become an extremely important and popular means of communication. The convenience and efficiency of electronic mail are threatened by the extremely rapid growth in the volume of unsolicited commercial electronic mail. Unsolicited commercial electronic mail is currently estimated to account for over half of all electronic mail traffic, up from an estimated 7 percent in 2001, and the volume continues to rise. Most of these messages are fraudulent or deceptive in one or more respects. The receipt of unsolicited commercial electronic mail may result in costs to recipients who cannot refuse to accept such mail and who incur costs for the storage of such mail, or for the time spent accessing, reviewing, and discarding such mail, or for both. The receipt of a large number of unwanted messages also decreases the convenience of electronic mail and creates a risk that wanted electronic mail messages, both commercial and noncommercial, will be lost, overlooked, or discarded amidst the larger volume of unwanted messages, thus reducing the reliability and usefulness of electronic mail to the recipient. Some commercial electronic mail contains material that many recipients may consider vulgar or pornographic in nature. The growth in unsolicited commercial electronic mail imposes significant monetary costs on providers of Internet access services, businesses, and educational and nonprofit institutions that carry and receive such mail, as there is a finite volume of mail that such providers, businesses, and institutions can handle without further investment in infrastructure. Many senders of unsolicited commercial electronic mail purposefully disguise the source of such mail. Many senders of unsolicited commercial electronic mail purposefully include misleading information in the messages’ subject lines in order to induce the recipients to view the messages. While some senders of commercial electronic mail messages provide simple and reliable ways for recipients to reject (or ’opt-out’ o0 receipt of commercial electronic mail from such senders in the future, other senders provide no such ’opt-out’ mechanism, or refuse to honor the requests of recipients not to receive electronic mail from such senders in the future, or both. Many senders of bulk unsolicited commercial electronic mail use computer programs to gather large numbers of electronic mail addresses on an automated basis from Internet websites or online services where users must post their addresses in order to make full use of the website or service. The problems associated with the rapid growth and abuse of unsolicited commercial electronic mail cannot be solved by the government alone. The development and adoption of technological approaches and the pursuit of cooperative efforts with other countries will be necessary as well. |
According to the passage, efficiency of e-mail is threatened by ______.
A．heavy e-mail traffic
B．fraudulent e-mail messages
C．large volume of messages
D．increasing amount of unwanted e-mail