高血压病并双侧肾动脉狭窄慎用
A．氢氯噻嗪
B．美托洛尔
C．氨氯地平
D．卡托普利
E．哌唑嗪
参考答案：D
解析：高血压病伴双侧。肾动脉狭窄时应慎用ACEI类药物。因为ACEI降低血压，可能使肾小球滤过率进一步降低，特别在存有肾动脉狭窄的患者，能使肾功能恶化。卡托普利属ACEI类，应慎用。同时，ACEI药物具有保钾作用，因此在血钾过高的患者属禁用。
There was a boy who was sent by his parents to a boarding school(寄宿学校). Before he was sent away, the boy was the student in his class. He was at the top in every exam. But the boy changed after home and studying in the boarding school. His grades started to . He hated being in a group. He was lonely all the time. And there were especially dark times when he felt like committing suicide(自杀). All of this was because he felt no one loved him. His parents started to the boy. But they even did not know what was wrong with him. So his father decided to go to the school and talk with him. They sat by the lake near the school. The father started asking him some casual questions about his lessons, teachers and . After some time his father said, "Do you know, son, why I'm here today?" "To my grades," the boy replied back. "No, no," his father said. "I'm here to tell you that you're the most person for me. I want to see you . I don't care about grades. I care about you. I care about your happiness. You're my life." These words caused the boy's eyes to be filled with tears. He hugged(拥抱) his father. They didn't say to each other for a long time. Now the boy had everything he wanted. He knew there was someone on the earth who cared for him deeply. And today this young man is in university at the top of his class and no one has ever seen him .
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