问题 单项选择题 案例分析题

患者女性,67岁,原有糖尿病病史,因腹痛、腹泻伴发热3天入院,血压75/50mmHg,四肢湿冷,心率110次/分,各瓣膜区未闻及杂音,双肺底有湿啰音,中上腹有压痛。

患者入院时测血乳酸为5mmol/L,经补液升压治疗2天后,患者血压回升,四肢回暖,尿量每小时60ml,肝功能在正常范围,此时测血乳酸为10mmol/L,较前升高,其原因最有可能是()

A.休克加重

B.血压回升但组织灌注仍差

C."洗出现象"

D.化验误差

E.出现乳酸酸中毒并发症

答案

参考答案:C

问答题
单项选择题

Vienna was one of the music centers of Europe during the classical period, and Haydn, Mozart, and Beethoven were all active there. As the (1) of the Holy Roman Empire (which included parts of present-day Austria, Germany, Italy, Hungary, Czech and Slovakia), it was a (2) cultural and commercial center (3) a cosmopolitan character. Its population of almost 250,000 (in 1800) made Vienna the fourth largest city in Europe. All three (4) masters were born elsewhere, but they were (5) to Vienna to study and to seek (6) . In Vienna, Haydn and Mozart became close friends and influenced each other’s musical (7) . Beethoven traveled to Vienna at sixteen to play for Mozart; at twenty-two, he returned to study with Haydn.

Aristocrats from all over the Empire spent the winter in Vienna, sometimes bringing their private (8) . Music was an important part of court life, and a good orchestra was a (9) of prestige. Many of the nobility were excellent musicians.

Much music was heard in (10) concerts where aristocrats and wealthy commoners played (11) professional musicians. Mozart and Beethoven often earned money by performing in these intimate concerts. The nobility (12) hired servants who could (13) as musicians. An advertisement in the Vienna Gazette of 1789 (14) : " Wanted, for a house of the gentry, a manservant who knows how to play the violin well. "

In Vienna there was also (15) music, light and popular in (16) . Small street bands of wind and string players played at garden parties or under the windows of people (17) to throw (18) money. Haydn and Mozart wrote many outdoor entertainment (19) , (20) they called divertimentos or serenades. Vienna’s great love of music and its enthusiastic demand for new works made it the chosen city of Haydn, Mozart and Beethoven.

14()

A.says

B.writes

C.reads

D.appears