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问题 单项选择题

女性，9岁，发热、头痛、呕吐2天，烦躁不安1天，于2月28日入院。体检：体温 39.8℃，血压130/80mmHg，精神差、神清，全身散在瘀点、瘀斑，颈抵抗，克氏征及巴氏征均阳性。脑脊液检查：颅压240mmH2(下标)O，外观浑浊，白细胞12×108(上标)/L，蛋白升高，糖及氯化物明显降低。诊断应首先考虑

A．流行性脑脊髓膜炎
B．结核性脑膜炎
C．流行性乙型脑炎
D．中毒型细菌性痢疾
E．钩端螺旋体病

答案

参考答案：A

解析：流行性脑脊髓膜炎(普通型)分为3期。上呼吸道感染期：1～2日，咽喉疼痛，鼻咽分泌物增多；败血症期：高热、神志淡漠，皮肤有瘀点、瘀斑；脑膜炎期：毒血症持续．血压正常或升高，脑膜刺激征阳性，克氏征及布氏征阳性。脑脊液浑浊，细胞数＞10×108(上标)/L，蛋白升高，血糖降低。

多项选择题

( )属于《建设项目竣工环境保护验收管理办法》中规定的建设项目竣工环境保护验收条件。

A．建设前期环境保护审查、审批手续完备，技术资料与环境保护档案资料齐全

B．环境保护设施及其他措施等已建成或者落实，环境保护设施经负荷试车检测合格，其防治污染能力适应主体工程的需要

C．环境保护设施安装质量符合国家和有关部门颁发的专业工程验收规范、规程和检验评定标准

D．环境影响报告书(表)要求建设单位采取措施削减其他设施污染物排放，或要求建设项目所在地地方政府或者有关部门采取“区域削减”措施满足污染物排放总量控制要求的，其相应措施得到落实

E．具备环境保护设施正常运转的条件，包括经培训合格的操作人员、健全的岗位操作规程及相应的规章制度，原料、动力供应落实，符合交付使用的其他要求
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单项选择题

There is virtually no limit to how one can serve community interests, from spending a few hours a week with some charitable organization to practically full-time work for a social agency. Just as there are opportunities for voluntary service (1) (VSO) for young people before they take up full-time employment, (2) there are opportunities for overseas service for (3) technicians in developing countries. Some people, (4) those who retire early, (5) their technical and business skills in countries (6) there is a special need.

So in considering voluntary or (7) community service, there are more opportunities than there (8) were when one first began work. Most voluntary organizations have only a small full-time

(9) and depend very much on volunteers and part-timers. This means that working relationships are different from those in commercial organizations, and values may be different. (10) some ways they may seem more casual and less efficient, but one should not (11) them by commercial criteria. The people who work with them do so for different reasons and with different (12) , both personal and (13) . One should not join them (14) to arm them with professional experience; they must be joined with commitment to the (15) , not business efficiency. Because salaries are (16) or non-existent many voluntary bodies offer modest expense. But many retired people take part in community service for (17) , simply because they enjoy the work.

Many community activities possible (18) retirement were also possible during one’s working life but they are to be undertaken (19) seriously for that. Retired people who are just looking for something different or unusual to do should not consider (20) community service.

2（）

A.as

B.so

C.then

D.that
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