患者，男性，25岁，昏迷1天就诊。查体：BP90/70mmHg，呼吸30次／分，HR115次／分，消瘦，脱水貌，深大呼吸，呼之不应，血糖20.5mmol/L，尿酮体（++++）。

患者深大呼吸的原因是（）

A.酸中毒

B.碱中毒

C.严重失水

D.糖尿痫

E.渗透压增高

If the Certificate of Inspection of a damaged tank barge has expired，which certificate may be issued to allow its movement to a repair facility?（）

A.Change of employment

B.Permit to proceed

C.Application for inspection

D.Temporary Certificate of Inspection