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患者男，65岁。因腰骶痛2个月伴消瘦就诊，血压正常，腰椎压痛，双下肢水肿，血红蛋白62g/L，24小时尿蛋白定量4.5g，血白蛋白20g/L，血钙4.8mmol/L，肌酐60μmol/L，碱性磷酸酶280U/L，γ球蛋白55%。

该患者目前最恰当的治疗为()

A.抗感染，应用抗生素

B.抗结核治疗

C.肾切除

D.溶栓，抗凝

E.透析治疗

F.应用免疫抑制剂

答案

参考答案：D

单项选择题

肾功能不全患者肾功能恶化的最常见因素是（）

A.感染

B.高血压

C.贫血

D.低钾血症

E.脱水
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单项选择题

The effect of the baby boom on the schools helped to make possible a shift in thinking about the role of public education in the 1920’s. In the 1920’s, but especially (1) the Depression of the 1930’s, the United States experienced a (2) birth rate. Then with the prosperity (3) on by the Second World War and the economic boom that followed it, young people married and (4) households earlier and began to (5) larger families than had their (6) during the Depression. Birth rates rose to 102 per thousand in 1946, 106.2 in 1950, and 118 in 1955. (7) economics was probably the most important (8) , it is not the only explanation for the baby boom. The increased value placed (9) the idea of the family also helps to (10) this rise in birth rates. The baby boomers began streaming (11) the first grade by the mid-1940’s and became a (12) by 1950. The public school system suddenly found itself (13) The wartime economy meant that few new schools were buih between 1940 and 1945. (14) , large numbers of teachers left their profession during that period for better-paying jobs elsewhere.

(15) , in the 1950’s, the baby boom hit an antiquated and inadequate school system. Consequently, the custodial rhetoric of the 1930’s no longer made (16) ; keeping youths ages sixteen and older out of the labor market by keeping them in school could no longer be a high (17) for an institution unable to find space and staff to teach younger children. With the baby boom, the focus of educators (18) turned toward the lower grades and back to basic academic skills and (19) . The system no longer had much (20) in offering nontraditional, new, and extra services to older youths.

11（）

A.through

B.across

C.into

D.towards
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