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问题 单项选择题 B型题

女性，24岁，糖尿病病人，因进食不洁食物，引起呕吐、腹泻，次日呕吐加剧，并进入昏迷，体检：呼吸深大，尿糖（++），血糖27.6mmol/L，血钠140mmol/L，血pH7.2。该患者诊断为（）

A.酮症酸中毒

B.高渗性非酮症糖尿病昏迷

C.低血糖

D.乳酸性酸中毒

E.水中毒

答案

参考答案：A

单项选择题

When a consumer finds that something he or she bought is faulty or in some other way does not live up to what the producer says for it, the first step is to present the warranty, or any other records that might help, at the store of buying. In most cases, this action will produce results. However, if it does not, there are various means the consumer may use to gain satisfaction.
A simple and common method used by many consumers is to complain directly to the store manager. In general, the "higher up" the consumer takes his or her complaint, the faster he or she can expect it to be settled. In such a case, it is usually settled in the consumer’s favour taking it as true that he or she has a just right.
Consumers should complain in person whenever possible, but if they cannot get to the place of buying, it is acceptable to phone or write the complaint in a letter.
Complaining is usually most effective when it is done politely but firmly and especially when the consumer can show clearly what is wrong with what was bought in question. If this cannot be done, the consumer will succeed best by presenting specific information as to what is wrong, rather than by making general statements. For example, "The left speaker does not work at all and the sound coming out of the right one is unclear" is better than "This stereo does not work. "
The store manager may advise the consumer to write to the producer, if so, the consumer should do this, setting the complaint as politely and as firmly as possible. But if a polite complaint does not achieve the expected result, the consumer can go a step further. He or she can threaten to take the seller to court or report the seller to a public organization responsible for protecting consumers rights.

When a consumer finds what he bought has a fault in it, he should first ______.

A．complain personally to the manager
B．show something provable in written form to the store
C．threaten to take the matter to court
D．write a firm letter of complaint to the store
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问答题

一般资料：求助者，男性，25岁，待业人员。　　案例介绍：求助者大专毕业后曾在几家公司工作过，都因和经理或员工搞不好关系而未能持久。后经熟人介绍，又来到一家私营电脑公司，工作很辛苦，每月收入两千元左右，而且经理要求很苛刻，就是这样经理还总对员工说像这样的工作有很多人抢着要干。求助者有一次上班时玩游戏被经理看到了，扣了当月的奖金约300元，求助者不服，找经理讲理，遭到了经理斥责，为此，对经理非常气愤，故意把客户送来修理的电脑损坏，经理一气之下，将求助者开除。求助者认为经理故意整自己，看不起自己，非常痛恨经理，但也非常无奈。被开除后，求助者不再去找工作，每日在家上网玩游戏，父母多次教育他要自食其力，他始终认为连父母都嫌弃自己，故意不让自己过好日子，经常为琐事对父母发脾气。三个多月前的一天，求助者在家吃话梅时，不小心被噎住了，当时喘不上气，脸敝的通红，心慌，出冷汗，当时非常恐惧。求助者认为话梅掉进肺里，到医院急诊室就诊，做过检查，医生告诉他话梅如果掉进肺里，会表现出咳嗽、发热等症状，而且话梅很可能经食道进入到胃中。求助者不信，坚持认为话梅掉进肺里，后逐渐认为话梅掉进肺里就会腐烂，腐烂了就会生痰，痰堵住了自己的喉咙，吃不下东西。此后只吃面条，喝粥等，后来索性就不吃了。刚开始觉得饿，后来不觉得饿了，但体重从120多斤减少到90多斤，头发变黄，皮肤很粗糙。期间多次到医院看病，均被告之肺部无明显异常，父母多次批评、规劝都没有效果，求助者认为父母不理解自己，对自己很残忍，多次与父母吵闹，自己内心很痛苦，为与父母的关系问题而来求助。　　心理咨询师观察了解到的情况：求助者生长在普通工人家庭，父母为退休工人，母亲在年轻时“曾被诊断为精神病”，求助者从小显得有些怪癖，没什么朋友，总显得与他人格格不入。学习成绩一般，自费读大专勉强毕业。　　请根据案例回答以下问题：

该求助者的主要症状是什么？（10分）
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