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患者男，23岁，因“发热10d，昏迷1d”于7月来诊。10d前在西双版纳打工期间突然出现畏寒、寒战及高热，隔日发作1次，自认为是感冒，发热时自服退热药，病情时好时坏，且精神、食欲欠佳，到个体诊所静脉输注青霉素及喹诺酮类抗生素5d，无效，并出现头痛、呕吐。1d前患者出现烦躁，当地诊所肌内注射地西泮10mg，2h后出现昏睡，进而发展到呼之不应，故转来本院。查体：T41.2℃，P132次/min，R28次/min，BP141/88mmHg；不能被叫醒，压眼有反应，球结膜轻度水肿，双侧瞳孔等大正圆，对光及角膜反射存在，巩膜轻度黄染，口唇多数疱疹；心、肺未见异常；腹部平坦、软；四肢生理反射存在，病理反射未引出。

首先考虑的诊断是（）

A.化脓性脑膜炎

B.结核性脑膜炎

C.脑出血

D.脑肿瘤

E.败血症

F.脑型疟疾

答案

参考答案：A, B, F

阅读理解
阅读理解。
1. Located inside a beautiful garden,
this place is very popular among
Beijing's fishing lovers. It's very
quiet and not far away from downtown.
Besides, it provides free wireless internet
service helping to kill time when waiting
for the fish.
Location: Inside the Daoxianghu Park,
              Sujiatuo, Haidian District
Telephone: 010 -62404942 		2. China's first lunar satellite, Chaiu'e-1,
blasted off (发射) at 6: 05 p. m. Wednesday
October 24, 2007 from the Xichang Satellite
Launch Center in Sichuan province. It entered
the earth-moon transfer orbit on October
31 and arrived in the moon's orbit on November
5 and soon started its one-year-long task. In late
November it sent its first photo back to China.

3. It must be wonderful that the
ordinary farm product has clear
profits (利润) that no one has ever
thought of. For. example, the potato
sellers in the 16th century never
thought city people would cat those
ordinary-looking things. But now,
chips become favorite food in
MacDonald's and other restaurants. 		4. Sport is becoming more and
more important, but its meaning and
appeal (吸引力) are still not taken
seriously, at least in France and Britain.
It is time for sport to enjoy the same
cultural weight as the performing arts,
and to he judged (判断) by the normal
standards of public life.
1. What's special about the Fishing Garden?
A. It is inside a beautiful garden.
B. It's quiet and nearby downtown.
C.  It helps people kill time.
D. It provides free wireless internet service.
2. It took Chang'e-l about ________ to send its first photo back to the earth.
A. a week
B. two weeks
C. a month
D. a year
3. What does the writer try to tell us in Passage 3?
A. Two heads are better than one.
B. Many hands make light work.
C. Judge not from appearance.
D. Don't put all your eggs in one basket.
4. From the fourth passage, we can infer that in France and Britain, ________.
A. people think more of performing arts than sport
B. the meaning and appeal of sport are taken seriously
C. sport is regarded as important as the performing arts
D. sport has been judged by the normal standards of public life
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判断题

剃齿必须在工件淬火之后进行。（）
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