患者,男性,23岁。因急性吐泻半小时来院急诊。午餐曾进食海鲜饭。晚上出现呕吐腹泻。大便初为黄色稀水便,量多,进而变为水样便、米泔样便,无里急后重。体检:T36.7℃,P100次/分,BP90/60mmHg,R20次/分,脉搏细速,皮肤干燥,双肺未闻及啰音,心律齐,腹平软,肝脾未触及,粪便悬滴镜检可见到运动力强、呈穿梭状运动的细菌,革兰染色阴性。 确诊后应几小时内进行网络报病
A. 2小时
B. 6小时
C. 12小时
D. 24小时
E. 48小时
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患者,男性,23岁。因急性吐泻半小时来院急诊。午餐曾进食海鲜饭。晚上出现呕吐腹泻。大便初为黄色稀水便,量多,进而变为水样便、米泔样便,无里急后重。体检:T36.7℃,P100次/分,BP90/60mmHg,R20次/分,脉搏细速,皮肤干燥,双肺未闻及啰音,心律齐,腹平软,肝脾未触及,粪便悬滴镜检可见到运动力强、呈穿梭状运动的细菌,革兰染色阴性。 最可能的诊断是
A. 肠炎
B. 细菌性痢疾
C. 伤寒
D. 食物中毒
E. 霍乱
患者,男性,23岁。因急性吐泻半小时来院急诊。午餐曾进食海鲜饭。晚上出现呕吐腹泻。大便初为黄色稀水便,量多,进而变为水样便、米泔样便,无里急后重。体检:T36.7℃,P100次/分,BP90/60mmHg,R20次/分,脉搏细速,皮肤干燥,双肺未闻及啰音,心律齐,腹平软,肝脾未触及,粪便悬滴镜检可见到运动力强、呈穿梭状运动的细菌,革兰染色阴性。 治疗的关键环节是
A. 尽快补充液体及电解质,扩容治疗
B. 大量应用缩血管性血管活性药物是升血压的关键
C. 用止泻药治疗
D. 尽快应用抗菌药物治疗
E. 应用激素
Directions:Put the following paragraph into Chinese.Write your Chinese version in the proper space onAnswerSheetⅡ. More than 1 billion people must survive on less than $1 a day.Striking inequality persists within and among countries.Diseases such as AIDS and malaria threaten to undo Years of progress.Worsening the poverty gap is the“digital divide”between the technology-rich and the technology-poor.At a time when information and knowledge have become the main source of wealth and power,half the developing world’s people have never made or received a telephone call,much less used a computer.Bringing these people into the mainstream is one of our biggest projects.
急性肝功能衰竭所致病理生理改变包括
A. 物质代谢紊乱
B. 胆汁酸胆红素代谢紊乱
C. 凝血因子合成障碍
D. 部分激素降解灭活下降
E. 水、电解质平衡失调