问题 单项选择题

男性,30岁,右手中指末节挤压伤3日,剧痛,到医院就诊,查中指肿胀,发热,指腹张力高,最恰当的处理是

A.热盐水浸泡患指

B.抗菌药物静脉注射

C.肌注度冷丁25毫克

D.中指侧面纵形切口引流

E.患指理疗

答案

参考答案:D

解析:本例是手指末节挤压伤后继发感染,目前主要是感染问题。化脓性感染早期理疗热敷,用抗生素控制均可,但如控制不满意,疼痛加剧,指腹张力增高时,即应立即切开引流,于指腹侧面作纵形切口。不能等到波动出现后才手术,否则不仅增加了患者痛苦,还有引起指骨缺血性坏死和骨髓炎的可能。

单项选择题
单项选择题

FOR the past two years in Silicon Valley, the centre of America’s technology industry, conference-goers have entertained themselves playing a guessing game: how many times will a speaker mention the phrase "long tail" It is usually a high number, thanks to the influence of the long tail theory, which was first developed by Chris Anderson, the editor of Wired magazine, in an article in 2004. Though technologists and bloggers chuckle at how every business presentation now has to have its long-tail section, most are envious of Mr Anderson, whose brainwave quickly became the most fashionable business idea around.

Whether a blockbuster film, a bestselling novel, or a chart-topping rap song, popular culture idolizes the hit. Companies devote themselves to creating them because the cost of distribution and the limits of shelf space in physical shops mean that profitability depends on a high volume of sales. But around the beginning of this century a group of internet companies realized that with endless shelves and a national or even international audience online they could offer a huge range of products—and make money at the same time.

The niche, the obscure and the specialist, Mr Anderson argues, will gain ground at the expense of the hit. As evidence, he points to a drop in the number of companies that traditionally calculate their revenue/sales ratio according to the 80/20 rule—where the top fifth of products contribute four-fifths of revenues. Ecast, a San Francisco digital jukebox company, found that 98% of its 10,000 albums sold at least one track every three months. Expressed in the language of statistics, the experiences of Ecast and other companies such as Amazon, an online bookseller, suggest that products down in the long tail of a statistical distribution, added together, can be highly profitable. The internet helps people find their way to relatively obscure material with recommendations and reviews by other people and (for those willing to have their artistic tastes predicted by a piece of software) computer programs which analyze past selections.

Long-tail enthusiasts argue that the whole of culture will benefit, not just commercial enterprises. Television, film and music are such bewitching media in their own right that many people are quite happy to watch and listen to what the mainstream provides. But if individuals have the opportunity to pick better, more ideally suited entertainment from a far wider selection, they will take it, according to the theory of the long tail. Some analysts reckon that entire populations might become happier and wiser once they have access to thousands of documentaries, independent films and sub-genres of every kind of music, instead of being subjected to what Mr Anderson calls the tyranny of lowest-common-denominator fare. That might be taking things a bit far. But the long tail is certainly one of the internet’s better gifts to humanity.

With which of the following would the long-tail advocates most probably agree()

A. People are more willing to catch what the mainstream provides

B. People have more opportunities to find entertainment through computer

C. People would be happy for having access to a wider selection

D. People in the cultural field benefit most from the long tail theory