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男性,53岁。解黑便伴头晕6小时,突然呕血1小时入院。黑便量约300g,呕鲜红色血液量约300ml,无血凝块。乙肝病史19年,无"呕血、黑便"病史。曾在某医院诊断为"肝硬化失代偿期"。查体:T36.9℃,P100次/分,R22次/分,BP95/75mmHg。慢性病容,颈部皮肤见多个蜘蛛痣,巩膜无黄染。腹膨胀、软,肝于右肋缘下未及,脾左肋缘下3cm,移动性浊音阳性。

根据患者情况,初步诊断应考虑()。

A.肝炎后肝硬化失代偿期

B.门静脉高压症

C.食管静脉曲张破裂出血

D.胃、十二指肠溃疡出血

E.门静脉高压性胃病出血

F.出血性胃炎

答案

参考答案:A, B, C, D, E

阅读理解

 

C

A man from Sri Lanka on Friday broke the Guinness world record for the longest time spent watching TV. He finished with 69 hours and 48 minutes.

Suresh Joachim did his TV viewing in the lobby (门厅) of WABC-TV as part of the “Guinness World Record Breaker Week ” on the TV talk show “Live With Regis and Kelly”.

After passing the previous record of 50 hours and 7 minutes Thursday, Joachim continued until about 7 am Friday.

Sitting on a brown leather couch, he watched nothing but ABC shows.

“I’m going to be a little tired of watching TV after this,” Joachim told reporters by phone during a brief break.

Rules of Guinness for the couch potato honor, allow for a five-minute break every hour and a 15-minute break every eight hours. The viewer must be constantly looking at the screen.

The hardest part, Joachim said on Live With Regis and Kelly, was “I couldn’t watch the people” — the many waving passers-by on the street outside the ABC studio.

Joachim, who lives in Toronto but comes from Sri Lanka, now holds more than 16 Guinness records, including the longest duration (持续) balancing on one foot (76 hours, 40 minutes) and bowling for 100 hours. He does it, he says, to raise awareness of suffering children.

64. Which paragraph shows the main idea of the passage?

A. The first paragraph.                                B. The last paragraph.

C. The second paragraph.                            D. The sixth paragraph.

65. How long had Joachim spent when the new “couch potato” record was made?

A. Half a week.                                   B. Less than two days.

C. 76 hours, 40 minutes.                             D. Nearly three days.

66. Which of the following phrases can replace the underlined word “constantly”?

A. All the time.  B. At times.  C. Some time.   D. Once upon a time.

67. What’s the biggest pity for Joachim when he did his TV viewing?

A. That Joachim could eat nothing.

B. That Joachim couldn’t watch the people outside.

C. That Joachim felt very tired.   

D. That Joachim didn’t have any time for a break.

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