问题
单项选择题 共用题干题
病人，男性，30岁，临床诊断肾病综合征，肾活检病理提示膜性肾病，经足量糖皮质激素治疗6周。
症状无明显好转，此时应采取下列哪项措施最为适宜（）。
A.停用泼尼松
B.改用地塞米松
C.继续用原剂量泼尼松
D.加用氮芥
E.加用环磷酰胺
答案
参考答案：E
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病人，男性，30岁，临床诊断肾病综合征，肾活检病理提示膜性肾病，经足量糖皮质激素治疗6周。
症状无明显好转，此时应采取下列哪项措施最为适宜（）。
A.停用泼尼松
B.改用地塞米松
C.继续用原剂量泼尼松
D.加用氮芥
E.加用环磷酰胺
参考答案：E
You are near the front line of a battle. Around you shells （炮弹）are exploding; people are shooting from a house behind you. What are you doing there? You aren’t a soldier. You aren’t 36 carrying a gun. You’re standing in front of a 37 and you’re telling the TV 38 what is happening. It’s all in a day’s work for a war reporter, and it can be very 39 . In the first two years of the 40 in former Yugoslavia（前南斯拉夫), 28 reporters and photographers were killed. Hundreds more were 41 . What kind of people put themselves in danger to 42 pictures to our TV screens and 43 to our newspapers? Why do they do it ? “I think it’s every young journalist’s 44 to be a foreign reporter,” says Michael Nicholson, “that’s 45 you find the excitement. So when the first opportunity comes, you take it 46 it is a war.” But there are moments of 47 . Jeremy Bowen says, “Yes, when you’re lying on the ground and bullets（子弹）are flying 48 your ears, you think: ‘What am I doing here? I’m not going to do this again.’ But that feeling 49 after a while and when the next war starts, you’ll be 50 .” “None of us believes that we’re going to 51 ” adds Michael. But he always 52 a lucky charm（护身符）with him. It was given to him by his wife for his first war. It’s a card which says “Take care of yourself.” Does he ever think about dying? “Oh, 53 , and every time it happens you look to the sky and say to God, ‘If you get me out of this, I 54 I’ll never do it again.’ You can almost hear God 55 , because you know he doesn’t believe you .”
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