问题 问答题 案例分析题

吴某,男性,30岁,工人,2004年8月11日9时就诊。患者8月10日晚酒后受凉,于今日凌晨3时左右开始觉上腹部疼痛隐隐,尚能忍受,后疼痛渐重,转移固定于右下腹,呈持续性,伴恶心,口干,大便未解,尿黄。T37.7℃,P90次/分,R20次/分,BP115/85mmHg。急性痛苦病容,腹软,腹肌稍紧张,麦氏点压痛、反跳痛,莫菲氏征(-),双肾区无叩痛,舌质红,苔黄,脉弦数。血常规:WBC12.8×109/L,N88%,PLT163×109/L;尿常规:正常。

答案

参考答案:辨病辨证依据:患者以右下腹疼痛拒按并有转移性疼痛1天为特征,故诊断为肠痈。患者由于饮食不节,湿热内生,加之外感邪毒,两者相合,瘀结肠中,气血凝滞,肠络不通,故见腹痛不解;瘀毒阻于肠腑,腑气不通而上逆,故见便秘、恶心;舌红,苔黄,脉弦数均为热结肠中之象。

西医诊断依据:①有转移性右下腹疼痛1天的病史;②体征:麦氏点压痛、反跳痛;③血象:WBC12.9×109/L,N88%,均偏高。

入院诊断:中医诊断:肠痈(瘀滞证)。

西医诊断:急性阑尾炎。

治法:行气活血,通腑泻热。

方药:大黄牡丹皮汤合红藤煎加减。

大黄10g牡丹皮10g桃仁10g冬瓜仁30g芒硝6g丹参15g红藤15g甘草5g

水煎服,每日1剂,分2次服。

阅读理解

阅读理解。

     I'll be the first to admit that I am a technophobe (对技术有恐惧感的人).Who would have guessed

that a website would help repay a 20-year-old loan?

     I'1l always remember my last day at school. My best friend, Jenny, had organized a party in the Sixth

Form Common Room; Jenny asked me to go to the supermarket with her to buy all the snacks. "I'm

really looking forward to this party, Stingy," she said. Everyone called me Stingy instead of Debbie

because they thought I didn't like to spend money. Actually, it was true.

     "There's lots of money in the kitty (零星凑起的一笔钱). Let's go crazy!" Going crazy meant buying

enough snacks to feed an army. It came to ?19.90, which was a lot of money in 1982.

     Jenny gave me a guilty(内疚的)look. "I've left-the kitty money in the common room. Can you pay

and I'll give you back the money?"

     "Sure," I replied, trying to look relaxed. 'Neither a lender or a borrower be' was my motto but I

didn't want to look stingy(小气). I gave ?20 to the impatient shop assistant.

     Well, the Party was a great success. So great that I completely forgot about my loan until I was flying

to America the next day. I was going to live with my uncle's family until I started university.

     I tried to get in touch with Jenny but her family had moved. My ?20 was lost. Until. I'd heard about

a website called Friends Reunited which helped people contact old school friends. My husband helped

me log on and find my school. There she was, Jenny Frost.

     I'm now married with a beautiful daughter called Debbie. Does anyone know how to get in touch

with Debbie 'Stingy' Jones? I still owe her ?20!

     We met two months later and the ?20 was returned, plus interest(利息)of course. After all, I'm a

bank manager now, so loans are my business.

1. Why did Jenny spend a lot of money on the snacks?

A. Debbie had money.

B. There was money she could use.

C. She wanted Debbie to stop being stingy.

D. She wanted to be crazy.

2. How did Debbie get her money at last?

A. Her husband found Jenny.

B. Jenny had a website on the Internet.

C. Debbie met Jenny.

D. Debbie put a message on the Friends Reunited website.

3. Which sentence best describes Debbie Jones?

A. She didn't like to spend money at school and often uses computers.

B. She sometimes lends money and doesn't like using computers.

C. She sometimes lends money and uses, the computer whenever she can.

D. She only lends money to friends and doesn't like using computers.

4. We know from the passage that Jenny .

A. liked parties at school and felt guilty about borrowing money

B. had fun at school but soon forgot about her school friends

C. forgot her best friend at school until she saw the Friends Reunited website

D. was forgetful about the money

填空题

阅读下列说明和C++代码,将应填入 (n) 处的字句写在对应栏内。

[说明]

某软件公司现欲开发一款飞机飞行模拟系统,该系统主要模拟不同种类飞机的飞行特征与起飞特征。需要模拟的飞机种类及其特征如表18-6所示。

为支持将来模拟更多种类的飞机,采用策略设计模式(Strategy)设计的类图如图18-21所示。

在图18-21中,AirCraft为抽象类,描述了抽象的飞机,而类Helicopter、AirPlane、Fighter和Harrier分别描述具体的飞机种类,方法fly()和takeOff()分别表示不同飞机都具有飞行特征和起飞特征;类FlyBehavior与TakeOffBehavior为抽象类,分别用于表示抽象的飞行行为与起飞行为;类SubSonicFly与SuperSonicFly分别描述亚音速飞行和超音速飞行的行为;类VerticalTakeOff与LongDistanceTakeOff分别描述垂直起飞与长距离起飞的行为。

[C++代码]

#include<iostream>

using namespace std;

class FlyBehavior

public:virtual void fly()=0;

class SubSonicFly:public FlyBehavior

public:void fly()cout<<"亚音速飞行!"<<end1;

Class SuperSonicFly:public FlyBehavior

public:void fly()cout<<"超音速飞行!"<<end1;

class TakeOffBehavior

public:virtual void takeOff()=0;

class VerticalTakeoff:public TakeOffBehavior

public:void takeOff()cout<<"垂直起飞!"<<end1;

class LongDistanceTakeoff:public TakeOffBehavior

public:void takeOff()cout<<"长距离起飞!"<<end1;

class AirCraft

protected:

(1)

(2)

public:

void fly() (3)

void takeOff() (4) ;;

class Helicopter:public AirCraft

public:

Helicopter()

flyBehavior=new (5)

takeoffBehavior=Flew (6)

(7)

if(!flyBehavior)delete flyBehavior;

if(!takeOffBehavior)delete takeOffBehavior;

//其他代码省略

(1)处填()。