题目内容
急性胰腺炎( )。
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病人，42岁，近几年来经量增多，经期延长。近2～3个月常感头晕、乏力。妇科检查：子宫呈不规则增大，如孕4个月大小，表面结节状突起，质硬。 诊断应首先考虑( )。
患儿8岁，患上呼吸道感染2周后，出现食欲减退、乏力、尿少、水肿。体温37.5℃、血压增高。尿蛋白、红细胞各(+)补体C3降低。诊断为急性肾小球肾炎。 该患儿入院3天后，症状加重，呼吸困难，不能平卧，肺部有湿啰音，心音低钝，有奔马律，肝右肋下3cm，可能发生了( )。
(1～2题共用病例)孕妇，31岁，G3P。。孕36周，头痛、视物不清2天，今晨头痛加剧，恶心、呕吐3次，随后剧烈抽搐约1分钟渐清醒，即测血压26／l6kPa(195／120mmHg)，胎心120次／分，有不规律子宫收缩，肛查：子宫口未开，骨产道正常。 以下护理措施正确的是
For Tony Blair, the outside world is a place of moral certainty. There are good guys and bad guys, and what needs to be done is pretty clear. Home, by contrast, is a messy sort of place, where the prime minister’s job is not to uphold eternal values but to force through some unpopular changes that may make the country work a bit better. So, if, as Britain dispatches 1,700 marines to help finish off the bad guys in Afghanistan, Mr. Blair cuts a more impressive figure abroad than he does at home, it is not surprising. Mr. Blair’s government is at that dangerous stage. The gloss of last year’s landslide(政党或候选人的胜利) has worn off; the next election is too far away to foster unity among the Labor Party and its allies; fighting the battles that need to be fought seems like hard work. No wonder Mr. Blair is not looking so steady. The area where this is most obvious, and where it matters most is the public services. Mr. Blair faces a difficulty here which is partly of his own making. By focusing his last election campaign on the need to improve hospitals, schools, transport and policing, he built up expectations. And he has been admirably frank about how that improvement needs to be achieved. A lazier and more cynical prime minister might have blamed past failure on Tory under funding, thrown some more money at the relevant ministries and hoped for the best. Mr. Blair has said many times those reforms in the way the public services work need to go alongside increases in cash. The trouble is that public services are, for the most part, people--teachers, doctors, nurses, policemen--so reforming them means changing working practices. People don’t much like having new ways of working forced on them, and their unions see resisting change as their raison d’etre(存在的目的或理由). So the hardest part of the government’s task is getting the unions to agree to change. Mr. Blair has made his task harder by committing a classic negotiation error. Instead of extracting concessions from the other side before promising his own, he has pledged himself to higher spending on public services without getting a commitment to change from the unions. Nor are other ministries conveying quite the same message as the treasury. On March 19th, John Hutton, a health minister, announced that cleaners and catering staff in new privately funded hospitals working for the National Health Service will still be government employees, entitled to the same pay and conditions as other health service workers. Since one of the main ways in which the government hopes to reform the public sector is by using private providers, and since one of the main ways in which private providers are likely to be able to save money is by cutting labor costs. this move seems to undermine the government’s strategy. At the time when the article was written, the situation in Britain’s public services seems to be ______.
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