问题 单项选择题

患者,女,66岁,5天前无明显诱因出现发热,最高39℃,伴寒战;无咳嗽、咳痰。于门诊阿莫西林抗感染治疗4日无改善,遂转入院治疗。入院查体:T38.8℃,R21次,BP110/70mmHg,HR110次/分。神清、精神差、颈软,咽不红、双扁桃体不大;双肺呼吸音清,无明显干湿啰音。查血常规白细胞13.4×10/L,中性粒细胞82.1%,胸片、肝肾功能未见明显异常。入院后给予亚胺培南西司他丁0.5g,每6小时一次。患者使用氟康唑10天后,体温降至正常,胸部CT提示肺部炎症明显好转。关于患者的用药教育,下列说法错误的是()

A.侵袭性真菌感染疗程较长,患者出院后仍需口服氟康唑

B.定期复查血常规、肝肾功能

C.出院后如发生过敏症状,可使用抗过敏药特非那定

D.如发生转氨酶升高,应考虑氟康唑的肝毒性

E.尽量避免同时使用对乙酰氨基酚等肝毒性药物

答案

参考答案:C

多项选择题
问答题

Many people are concerned about the economic condition of developing countries — countries whose average per capita GNP is a fraction of that in more industrialized countries. However, for the developing countries, there exist many obstacles to their economic development.

One major obstacle to economic development is population growth. (46) The populations of most developing countries grow at a rate much faster than those of industrialized countries, and the population of some of them is so large that there is barely enough fertile land and other resources to support it. Many less developed countries depend extensively on agriculture, adding to the problem. In these countries, an incentive to have many children exists. (47) Most farms are worked by families, and children can work in the fields at an early age because most farmers believe that more children means more workers. In addition, having many children ensures the parents that someone will look after them in their old age.

Another problem for developing countries is increasing average life expectancy—the average remaining lifetime for persons who reach a certain age. Better education, international aid, and emphasis on health-care facilities help people live longer. A high life expectancy coupled with a high crude birthrate makes it difficult to increase per capita GNP.

Another obstacle to economic growth is limited natural resources. No country can develop beyond its resource potential. Unproductive land or a harsh climate can limit economic growth. (48) Some countries may be fortunate enough to discover a valuable mineral to finance their economic development, but most focus on agriculture and, as a result, their economic growth is hindered by the shortage of natural resources or energy sources needed for industry.

Still another obstacle to economic development is a lack of appropriate education and technology. Any developing countries do not have a highly literate population or the high level of technical skills needed to build an industrial society. In addition, most do not have money to train engineers and scientists. (49) Many developing countries cannot even afford to provide free public education for school-age children, and in those that can, not every child is able to take advantage of it because most of them have to work to help feed their families. As a result, much of the population may not have the basic skills needed to continue with higher education when it is offered.

Government also can be an obstacle to economic development. A country whose government often changes will have a hard time developing economically. Such constant changes impede long-term planning. (50) Economic development is made even more difficult if the political changes occur through violent revolution where industrial facilities may be destroyed.

(48) Some countries may be fortunate enough to discover a valuable mineral to finance their economic development, but most focus on agriculture and, as a result, their economic growth is hindered by the shortage of natural resources or energy sources needed for industry.