问题 单项选择题

男性,48岁,乏力、腹胀、盗汗2月余,外周血白细胞计数150×105/L,分叶核中性粒细胞占85%,杆状核粒细胞占5%,以下最有助于鉴别此患者是类白血病反应还是白血病的项目是

A.中性粒细胞碱性磷酸酶升高

B.贫血

C.血小板正常

D.脾肿大

答案

参考答案:A

解析:[考点] 类白血病反应与白血病的鉴别诊断[分析] 类白血病反应常继发于严重感染,血象可类似于白血病改变。贫血和脾肿大是白血病和类白血病反应都可有的改变。白血病早期也可有血小板正常。但在类白血病反应时,中性粒细胞碱性磷酸酶明显升高,而白血病中性粒细胞碱性磷酸酶降低。

单项选择题
单项选择题

Everyone gets angry sometimes, but being angry doesn’t really solve much. Your goal is to calm yourself down. This is (1) for some people. Instead of calming down, they might get more and more upset (2) they explode like a volcano. Some people might say they have trouble (3) their temper. Sometimes angry feelings can be hard to (4) . So what do you do if your temper is like a volcano

Well, the good news is (5) people don’t keep making the same mistakes over and over again. You can train your temper. Here are steps you can (6) at any time.

Get a lot of (7) activity. Exercise can be good because it is a way of (8) energy and stress. You can dance around your room (9) your favorite music, too.

Talk to your mom or dad. If you’re having trouble with your temper, tell your parents you’re trying to do a (10) job of controlling yourself. Let them know you are going to ask for their help.

Put (11) into words. Get into the habit of saying what you are feeling and why. (12) using words might help you manage your p feelings and behaviors.

Take a break from the (13) . If you are in an argument with someone, go to another part of your house. You can just say, "I want to be (14) for a while so I can calm down. "

Go into a (15) . If you fed angry and think you need a timeout to calm down, don’t (16) your parents to tell you to take a timeout for yourself. Let your family know that when you’re taking a timeout, they need to (17) your space and leave you alone. While you are sitting in your chair, try to take deep (18) .

Learn to shift. The idea is to shift from a really angry mood to a better mood. After you (19) the angry feelings out, you have to start thinking about other things, You can say, "I (20) my temper, but I’m going to get myself under control now.

19()

A.remove 

B.set 

C.give 

D.get