女性患者，66岁，糖尿病病史11年，颈部一痈溃破，经抗生素治疗2周未见好转，近日体温明显升高，面色潮红，周身出现皮疹，背部一区域有水肿，压痛明显。
该患者行清创术及联合应用抗生素，病情好转，体温下降至37.3℃，故持续应用大剂量广谱抗生素以期控制感染，10天后患者突然发生寒战、高热，体温达39.8℃，出现神志淡漠，嗜睡及休克，白细胞计数 25×10z9/L，此时应考虑并发
A．真菌性脓毒症
B．中毒性休克
C．革兰阳性细菌脓毒症
D．革兰阴性细菌脓毒症
E．铜绿假单胞菌脓毒症
参考答案：A
Some people learn a second language easily. Other people have trouble learning a new language. How can you help yourself learn a new language, such as English? There are several ways to make learning English easier and more interesting. The first step is to feel confident about learning English. If you believe that you can learn well, you will learn well. Be patient. You don’t have to understand everything all at once. It is natural to make mistakes when you learn something new. We can learn from our mistakes. In other words, do not worry about taking risks. The second step is to practice your English. For example, keep a diary or make notes every day. You will be used to writing in English, and you will feel comfortable expressing your ideas in English After several weeks, you will see’ that your writing is improving. In addition, you must speak English every day. You can practice with your classmates outside class. You will all make mistakes, but gradually you will become comfortable communicating in English The third step is to keep a record of your language learning. You can write this in your diary. After each class, think about what you did. Did you answer a question correctly? Did you understand something the teacher explained? Perhaps the lesson was difficult, but you tried to understand it. Write these achievements in your diary. You must have confidence about learning English and believe that you can do it. It’s important to practice every day and make a record of your achievements. You will enjoy learning English, and you will have more confidence in yourself.
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