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女婴,6个月。腹泻4天,大便呈蛋花汤样,每天约十几次,半天无尿,查体:前囟眼窝明显凹陷,皮肤弹性极差,有花纹,呼吸深,四肢凉。血清钠136mmol/L,血钾3.8mmol/L,BE20mmoL/L。 首批应输入的液体应为

A. 2:1等张含钠液
B. 4:3:2液
C. 2:3:1液
D. 1:4液
E. 1:3盐糖液

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女婴,6个月。腹泻4天,大便呈蛋花汤样,每天约十几次,半天无尿,查体:前囟眼窝明显凹陷,皮肤弹性极差,有花纹,呼吸深,四肢凉。血清钠136mmol/L,血钾3.8mmol/L,BE20mmoL/L。 该患儿的诊断为

A. 重度低渗性脱水伴酸中度
B. 重度等渗性脱水伴酸中度
C. 重度高渗性脱水伴酸中度
D. 中度等渗性脱水伴酸中度
E. 中度低渗性脱水伴酸中度

6个月女婴,发热、腹泻伴呕吐3天,大便每日十几次,为水样便,尿量减少。查体:体温,38.5℃,神萎,皮肤弹性差,前囟、眼窝凹陷,泪少,咽稍充血,心肺(-)。 第2天脱水纠正,大便减少到5~6次/天,未再呕吐,胃纳差,补液原则

A. 停静脉补液,改口服补液盐
B. 补充继续损失量
C. 补充生理需要量
D. 补充继续损失+生理需要量
E. 调整饮食,脱脂奶喂养

6个月女婴,发热、腹泻伴呕吐3天,大便每日十几次,为水样便,尿量减少。查体:体温,38.5℃,神萎,皮肤弹性差,前囟、眼窝凹陷,泪少,咽稍充血,心肺(-)。 第一天24小时补液总量为

A. 180~200ml/kg
B. 60~90ml/kg
C. 90~120ml/kg
D. 120~150ml/kg
E. 150~180ml/kg

Conventional wisdom says that if you want to be richer, a useful thing to do is to get married. Life is cheaper when there’s only one 1 to pay and someone else can do certain tasks--cooking or car repair--more 2 than you. Research by Ohio State University’s Jay Zagorsky shows that married baby boomers increase their 3 an average 16% a year, 4 those who are single increase their net 5 at half that rate. Yet the economic 6 of marriage isn’t what it used to be. In a chapter of a book newly out from the Russell Sage Foundation, Changing Poverty, Changing Policies, two social scientists show that the marriage premium has subsided since 1969. They 7 to study how the changing makeup of American families has affected the number of people below the poverty line. 8 how the rate of marriage has fallen and the rate of divorce has 9 , the researchers expected the number of people living below the poverty line to grow 2.6%. But when they looked at the data, poverty had increased by less than half that 10 . Why In a 11 , because single women, even those with kids, have an easier time supporting themselves outside marriage than they used to. More women are working, increasingly for wages that are 12 with those of men. Women are having children later in life, and 13 of them. On top of that, a growing percentage of women who have children but aren’t married don’t live on their own. In 1970, 62% of single mothers were the only adult in their 14 , but by 2006, just 55% were living without another means of support— 15 more women cohabitating with a male partner or grandparent. Now, that’s not to say marriage doesn’t 16 with significant economic benefits. As research by Zagorsky and others illustrates, it does. A child in a single-parent family, for instance, is five times as 17 to live below the poverty line. What the two social scientists try to illustrate, though, is that marriage wouldn’t necessarily 18 more per-person wealth. Marrying someone who is chronically 19 might 20 not be an economic step up.

A. probable
B. likely
C. possible
D. feasible

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