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患儿,7岁,高热40.5℃,昏迷,抽搐,四肢厥冷,血压8/5kPa(60/38mmHg),肛拭子取便镜检为脓细胞、红细胞(+)。 最可能的判断是

A. 细菌性痢疾中毒休克型
B. 霍乱并发,循环衰竭
C. 钩端螺旋体病肺大出血型休克
D. 青霉素治疗钩端螺旋体病引发赫氏反应
E. 青霉素过敏性休克

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患儿,7岁,高热40.5℃,昏迷,抽搐,四肢厥冷,血压8/5kPa(60/38mmHg),肛拭子取便镜检为脓细胞、红细胞(+)。 此时最主要的护理措施是

A. 注意保暖
B. 氧气吸入
C. 卧床休息
D. 少渣饮食
E. 开放静脉扩溶治疗

女性,10岁,发热,恐怖,恐水、怕风、咽肌痉挛和呼吸困难,第五天四肢软瘫,呼吸肌麻痹而死亡。 该病人的诊断是

A. 狂犬病
B. 布氏杆菌病
C. 血吸虫病
D. 钩虫病
E. 肠绦虫病

男性,5岁,高热3d,神志不清1d入院,体检:T:39.6℃,颈有抵抗,巴氏征(+)。化验:血白细胞18×109/L,中性粒细胞85%。脑脊液细胞数500×106/L,糖和氯化物正常,诊断为乙脑。入院后患儿昏迷加深,呼吸节律不整,瞳孔不等大,对光反应迟钝。患儿出现的并发症是

A. 脑疝
B. 脑出血
C. 脑水肿
D. 呼吸衰竭
E. 心功能不全

We have scrutinized the American dream of achieved wealth and well-being by comparing rich and unrich countries, and rich and unrich people. That leaves the final question: Over time, does happiness rise with affluence Typically not. Lottery winners appear to gain but a temporary jolt of joy from their winnings. Looking back, they feel delighted to have won. Yet the euphoria doesn’t last. In fact, previously enjoyed activities such as reading may become less pleasurable. Compared to the high of winning a million dollars, ordinary pleasure looks pale. On a smaller scale, a jump in our income can boost our morale, for a while. "But in the long run," notes Inglehart, "neither an ice cream cone nor a new car nor becoming rich and famous produces the same feelings of delight that it initially did... Happiness is not the result of being rich, but a temporary consequence of having recently become richer.\

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