患者,男性,42岁。既往体健,排暗红色血便1天,伴头晕、尿量减少。查体:体温37℃,血压70/40mmHg,心率130次/分,呼吸30次/分,腹平软,中上腹压痛,移动性浊音(一),肠鸣音活跃。白细胞18.0×109/L,中性粒细胞82%,血红蛋白110g/L,血小板98×109/L,血肌酐140μmol/L。 对该患者肾功能损害病因最有价值的检查项目是
A. 尿比重
B. 泌尿系B超
C. 肌酐清除率
D. 血尿素氮测定
E. 肾活检
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患者,男性,42岁。既往体健,排暗红色血便1天,伴头晕、尿量减少。查体:体温37℃,血压70/40mmHg,心率130次/分,呼吸30次/分,腹平软,中上腹压痛,移动性浊音(一),肠鸣音活跃。白细胞18.0×109/L,中性粒细胞82%,血红蛋白110g/L,血小板98×109/L,血肌酐140μmol/L。 对该患者最重要的急诊治疗措施是
A. 注射抗生素
B. 补液扩容
C. 输单采血小板
D. 监测血糖
E. 胃镜检查
患者,男性,42岁。既往体健,排暗红色血便1天,伴头晕、尿量减少。查体:体温37℃,血压70/40mmHg,心率130次/分,呼吸30次/分,腹平软,中上腹压痛,移动性浊音(一),肠鸣音活跃。白细胞18.0×109/L,中性粒细胞82%,血红蛋白110g/L,血小板98×109/L,血肌酐140μmol/L。 经治疗后,观察肾功能有无好转,最简单的方法是
A. 监测血尿素氮
B. 监测尿比重
C. 监测血压
D. 监测尿渗透压
E. 观察尿量
符合肝性脑病前驱期(I度)临床表现的是
A. 以昏睡和精神错乱为主
B. 脑电图异常
C. 出现阵发性惊厥、抽搐
D. 扑翼样震颤
E. 肌张力异常、病理征阳性
A woman and a man get into a car accident, and it’ s a bad one. Both cars are totally destroyed, but amazingly【C1】______of them is hurt. After they crawl out of their cars, the woman says, " So you’re a man, that’s interesting. And I’m a woman... Wow! Just【C2】______our cars. There’s nothing left, but【C3】______we are unhurt. This must be a sign from God that【C4】______should meet and become friends and live together in peace the rest of our days." The man replies, " I agree with you completely: this must be a sign from God!" The woman continues, "And look at this—here’ s another【C5】______. My car is completely destroyed【C6】______this bottle of wine didn’ t break. Surely God wants us to drink this wine and【C7】______our good fortune." So she hands the bottle to the man. The man nods his head【C8】______, opens it and takes a few big swallows from the bottle, then hands it back to the woman. The woman takes the bottle, immediately【C9】______the cap back on, and hands it back to the man. The man takes the bottle and asks, "Aren’ t you having any" The woman replies, "No. I think I will just【C10】______the police..." 【C6】
A. and
B. or
C. for
D. but