女性患者，36岁，反复出现下肢水肿，蛋白尿3年，一直服用泼尼松30mg/d治疗，最近3天因受凉后出现咽痛、发热、咳嗽，住院发现双下肢膝以下高度水肿，尿蛋白（++++），红细胞0~3/HP，并加大泼尼松至60mg/d，晨顿服，且加用环磷酰胺0.2g，静脉点滴，隔日1次，进院后第4天患者感尿频、尿急、尿痛，查尿常规：白细胞（+++），加用头孢唑林（先锋V号）静脉滴注，第5天出现水肿加重，尿量300ml/d，尿素氮20mmol/L，血肌酐987mmol/L，并有心悸、气促感，查体心率110次／分，双肺湿啰音，BP165/110mmHg，即做紧急血透，血透3小时后气促好转，水肿缓解，但回病房后排出红色尿100ml，镜检红细胞（+++），为均一型血尿。
该患者血透后出现血尿的可能原因是（）
A.心衰引起
B.肾实质损害加重
C.与血压升高有关
D.与血透时肝素用量过大有关
E.与使用环磷酰胺有关
参考答案：D
第四部分：任务型阅读(共10小题；每小题l分，满分l0分) 请认真阅读下列短文,并根据所读内容在文章后表格中的空格里填入一个最恰当的单词。注意：每个空格只填1个单词。请将答案写在答题卡上相应题号的横线上。 Reflecting (深思) is a special kind of thinking. In the first-place, it’s both active and controlled. When ideas pass aimlessly through your head, that is not reflecting. When someone tells you a story and suddenly makes you remember something that happened to you, that is not reflecting either. Reflecting means focusing your attention. It means weighing, considering, and choosing. Suppose you’re going home, and when you get there, you turn the knob (门的球形把手), the door opens and you step in. Getting into your home does not require reflection. But now suppose that when you turn the knob, the door does not open. To get into the house, some reflecting is in order. You have to think about what you are going to do. You have to imagine possibilities and consider choices. The second way that reflecting is different from some other kinds of thinking is that it’s persistent（连续的）. It requires continuous effort. Suppose you’re still trying to get through your front door. You check your pocket for the key. You walk around the house looking for an open window. You go to a phone to call a family member who has a key. Such behaviour is proof of persistent reflective thinking. And if someone asks you what you are doing, you may say that you are trying to figure out how to get into your house. But suppose, instead, you go to a nearby record store and look through the new records. If someone asks you what you are doing and you say that you are trying to figure out how to get into your house, that will not make sense. You are only reflecting as long as you stick to the problem or task. The third way that reflecting is different from some other kinds of thinking is that it’s careful. It aims at making sense. That doesn’t mean that reflecting cannot be imaginative. A great deal of reflection could go into writing a science-fiction story about people who can move through solid objects. The ability to walk through walls could make sense in a science-fiction story. But it wouldn’t make much sense in trying to get through your locked front door. Such imagining would be a kind of thinking, but it would not be reflection. Title: 71._____________
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