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Modern medicine has become a more exciting field of study as a result of tie two recent changes.
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某男，60岁，进食后呕吐、腹泻、抽搐、昏迷住院。既往有肝肿大和谷丙转氨酶偏高病史。查体：心率90次/min，BP152/88mmHg，肝右肋下1cm，质中度硬，表面平滑，脾未触及，血糖900mg/dl，血钠158mmol/L，血CO2结合力46%，血尿素氮 25mg/dl，血糖(+++)，尿酮体阴性，下列哪项诊断可能性最大
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The idea of rain making is almost as old as man, but it was not until 1946 that man succeeded in making rain. In ancient times, rainmakers claimed(声称) to be able to bring rain by many methods: dancing, singing, killing various kinds of living creatures (including humans), and blowing a stream of water into the air from a kind of pipe. More recently, some rainmakers claimed to make rain by shooting guns, causing explosions, or burning chemicals, the smoke of which was supposed to cause rain to fall. These rainmakers asked for as much as 1,000 dollars to make an inch of rain. One was so effective that he was almost hanged. He was believed to have caused a twenty-inch rain in southern California that flooded that land, killed several people, and did millions of dollars’ worth of damage. Before 1946, rainmakers were either liars or honest people who happened to have good luck. Scientific rain making was started in that year by Vincent J. Schaefer, a scientist at the laboratories of the General Electric Company in New York State. His success was the result of a lucky accident that changed years of failure into victory. Who was the first rainmaker succeeding in making rain
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