问题 单项选择题 案例分析题

男性,64岁,接受肾移植手术后2周出现尿量减少,体重增加0.5kg/d,查体移植肾压痛明显,化验血肌酐和尿素氮升高。

应首先采取的治疗措施为()

A.补液治疗,增加血容量

B.暂不作处理,继续观察

C.应用大剂量利尿药物

D.糖皮质激素冲击治疗

E.立即进行再次移植手术

答案

参考答案:D

单项选择题
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In 1943, when I was 4, my parents moved from Coeur d'Alene, Idaho, to Fairbanks, Alaska, where adventure was never very far away.

We arrived in the summer, just in time to enjoy the midnight sun. All that sunlight was fantastic for Mom's vegetable garden. Working in the garden at midnight tended to throw her timing off, so she didn't care much about my bedtime.

Dad was a Railway Express agent and Mom was his clerk. That left me in a mess. I usually managed to find some trouble to get into. Once I had a little Are going in the dirt basement of a hotel. I had tried to light a barrel(桶) of paint but couldn't really get a good fire going. The smoke got pretty bad, though, and when 1 made my exit, a crowd and the police were there to greet me. The policemen took my matches and drove me

Mom and Dad were occupied in the garden and Dad told the police to keep me, and they did! I had a tour of the prison before Mom rescued me. 1 hadn't turned 5 yet.

As I entered kindergarten, the serious cold began to set in. Would it surprise you to know that I soon left part of my tongue on a metal handrail at school?

As for Leonhard Seppala, famous as a dog sledder (驾雪橇者), I think I knew him well because I was taken for a ride with his white dog team one Sunday. At the time I didn't realize what a superstar he was, but I do remember the ride well. I was wrapped (包裹) heavily and well sheltered from the freezing and blowing weather.

In 1950, we moved back to Coeur d'Alene, but we got one more Alaskan adventure when Leonhard invited us eight years later by paying a visit to Idaho to attend a gathering of former neighbors of Alaska.

小题1:What can be inferred about the author's family?

A.His father was a cruel man.

B.His parents didn't love him.

C.His parents used to be very busy.

D.His mother didn't have any jobs.小题2:What happened when the author was 4?

A.He learned to smoke.

B.He was locked in a basement.

C.He was arrested by the police.

D.He nearly caused a fire accident.小题3:Which of the following is true?

A.Leonhard was good at driving dog sleds.

B.The author spent his whole childhood in Alaska.

C.Leonhard often visited the author's family after 1950.

D.The author suffered a lot while taking the dog sled in Alaska.小题4:What is the author's purpose of writing the text?

A.To look back on his childhood with adventures.

B.To describe the extreme weather of Alaska.

C.To express how much he misses Leonhard.

D.To show off his pride in making trouble.