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Without a doubt, one will get nowhere __________________________ (不努力).

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某患者夜间突发急腹症被送到某医院看急诊,初诊为急性胆囊炎。负责医师因自己年轻,怕担风险,未作任何处理,即让家属把患者送到10公里外的中心医院就诊,延误了治疗时间,致使病人胆囊穿孔,中毒性休克。后虽经抢救挽救了生命,但医药费用去2万多元。 当事医师在为自包的作为作伦理反思和辩护时,下列看法中成立的是

A. 小心审慎,处置正确
B. 疑难杂症,难以应付
C. 对病情凶险估计不够,缺乏急救意识
D. 习惯做法,转诊是向病人负责
E. 以上都不是

For those who seek thrills or adventure, activities such as mountain climbing and swimming may well ___________________________ (满足他们的要求).

Recent studies have identified four major global environmental risks: (36) rain, ozone depletion, (37) and the greenhouse effect. On the whole, thanks to technological changes, people now (38) to move toward warmer regions in North America and Europe. Climate warming will probably be a (39) to Alaska, which is America’s (40) productive state in Gross National Product (GNP) per square mile. Studies of the (41) of global warming on the United States and other developed regions find that the most vulnerable areas are those (42) on undamaged ecosystems -- on naturally (43) rainfall, run-off and temperatures, and the extreme of these variables. Agriculture, forestry and coastal activities fall into this category. (44) . Intensive-care units pf hospitals, communications, heavy manufacturing and microelectronics are among the sectors likely to be unaffected by climate change. In selecting whether to set up in, say , Hong Kong or in Warsaw, few businesses will consider temperature a weighty factor. (45) About 3% of American GNP originates in climate-sensitive sectors such as farming and forestry. Another 10% comes from sectors only modestly sensitive -- energy, water systems, property and construction. (46) .

男,24岁。低热、右下腹痛、腹泻3个月。有时腹泻便秘交替。消瘦、贫血。血沉40mm/h,钡餐检查:回盲部粘膜粗乱,充盈不佳,呈“跳跃征”(Stierlin征)

A. 肠易激综合征
B. 肠结核
Crohn 病
D. 溃疡性结肠炎
E. 结肠癌
F. 下列各例的诊断最可能是

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