男性,65岁。慢性阻塞性肺疾病7年。10天前受凉后发热,咳嗽加重,痰黏难咳,2天来神志欠清,发绀、躁动,入院查体双肺呼吸音低,有干湿性啰音,白细胞计数及分类增高。 为提供有效治疗,首要检查手段是下列哪项
A. 胸部X线片
B. 痰培养牛药物敏感试验
C. 血气分析
D. 电解质测定
E. 二氧化碳结合力测定
[听力原文]11-15You might wonder where the largest library in the world is. Now, I can tell you the answer, it’s in Washington D. C.. It’s called the Library of Congress. President John Adams started the library in 1800 for members of Congress. He wanted them to be able to read books about law. The first 740 books were bought in England. They were simply stored in the room where Congress met. Then Thomas Jefferson sold Congress many of his own books. He felt Congress should read books on all subjects, not just on law. This idea changed the library for good. Now the library contains 20 million books as well as scores of pictures, movies, globes and machines. Experts in every field work there. Hundreds of people visit every day with all kinds of questions. Many of them get answers right over the phone. Where is the world’s largest library?It’s in().
For three decades we’’ve heard endlessly about the virtues of aerobic (increasing oxygen consumption) exercise. Medical authorities have praised running and jumping as the key to good health, and millions of Americans have taken to the treadmill(踏车) to reap the rewards. But the story is changing. Everyone from the American Heart Association to the surgeon general’’s office has recently embraced strength training as a complement to aerobics. And as weight lifting has gone mainstream, so has the once obscure practice known as "Super Slow" training. Enthusiasts claim that by pumping iron at a snail’’s pace-making each "rep"(repeat) last 14 seconds instead of the usual seven-you can safely place extraordinary demands on your muscles, and call forth an extraordinary response. Slow lifting may not be the only exercise you need, as some advocates believe, but the benefits are often dramatic. Almost anyone can handle this routine. The only requirements are complete focus and a tolerance for deep muscular burn. Fox each exercise-leg press, bench press, shoulder press and so on-you set the machine to provide only moderate resistance. But as you draw out each rep, depriving yourself of impetus, the weight soon feels unbearable. Defying the impulse to stop, you keep going until you can’’t complete a rep. Then you sustain your vain effort for 10 more seconds while the weight sinks gradually toward its cradle. Intense Uncomfortable Totally. But once you embrace muscle failure as the goal of the workout, it can become almost pleasure. The goal is not to burn calories while you’’re exercising but to make your body burn them all the time. Running a few miles many make you sweat, but it expends only 100 calories per mile, and it doesn’’t stimulate much bone or muscle development. Strength training doesn’’t burn many calories, either. But when you push a muscle to failure, you set off a pour of physiological changes. As the muscle recovers over several days, it will thicken-and the new muscle tissue will demand sustenance. By the time you add three pounds of muscle, your body requires an extra 9,000 calories a month just to break even. Hold your diet steady and, very quickly, you are vaporizing body fat. One might have benefited from any strength-training program. But advocates insist the slow technique is safer and more effective than traditional methods. According to the author," Super Slow" training
A. has been misunderstood for decades.
B. has been widely accepted recently
C. has been the basis of weight lifting.
D. has become the nucleus of aerobics.