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男性，30岁。因与人争吵被人用刀刺伤右胸部半小时入院。查体：血压90/45mmHg，呼吸32/min，脉搏110/min，烦躁不安，颜面苍白，口唇发绀，右前胸靠外侧可见2～3cm长刀伤破裂口，随患者呼吸闻及气体从破裂口出入的声响。胸部透视右肺压缩70%，右侧肋脯角消失。正确的诊断是

A. 右胸刀伤
B. 右侧外伤性血气胸
C. 右侧大量胸腔积液
D. 右侧胸部贯通伤
E. 右侧闭合性气胸

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The purpose of the requirements definition phase is to produce a clear, complete, consistent, and testable (71) of the technical requirements for the software product. During the requirements definition phase, the requirements definition team uses an iterative process to expand a broad statement of the system requirements into a complete and detailed specification of each function that the software must perform and each (72) that it must meet. The starting point is usually a set of high-level requirements from the (73) that describe the project or problem. In either case, the requirements definition team formulates an overall concept for the system and the defines (74) showing how the system will be operated, publishes the system and operation concept documents, and conducts a system concept review (SCR). Following the SCR, the team derives (75) requirements for the system from the highlevel requirements and the system operations concept. Using structured or object-oriented analysis,the team specifies the software functions and algorithms needed to satisfy each detailed requirements.

A. detailed
B. outlined
C. total
D. complete

女性患者，60岁，糖尿病病史15年，长期口服优降糖(格列本脲)治疗，现诊断为糖尿病肾病，血肌酐升高，迭尿毒症期。首选何种治疗

A. 维持原治疗
B. 改用其他磺脲类降糖药
C. 改用胰岛素
D. 双胍类药物
E. 胰岛素增敏剂

下述关于ARDS的临床特点和实验室检查，哪一项是正确的

A. 呼吸窘迫的特点为呼吸浅快，频率大于 28/min
B. 早期体征为双侧肺底湿啰音
C. 因本病的主要病理变化为肺水肿，故不会出现管状呼吸音
D. X线胸片符合肺水肿，不会出现肺间质纤维化
E. 肺动脉平均压力小于12cmH2O

血友病（）

A. 血浆凝血酶原时间延长
B. 血小板计数减少、血块退缩不良
C. 血小板计数正常、毛细血管脆性试验阳性
D. 3P试验(+)
E. ATPP延长