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可以导致多器官功能不全综合征(MODS)的疾病中,不包括
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发生多器官功能不全综合征MODS的直接诱因不包括
严重组织创伤,大出血
严重感染,脓毒症
心跳呼吸骤停复苏后
出血坏死性胰腺炎
糖尿病肾病
多器官功能不全综合征MODS
可以导致多器官功能不全综合征MODS的疾病有
急性出血坏死型胰腺炎
慢性胆囊炎
烧伤
休克
MODS多器官功能不全综合征最主要的原因是
免疫功能低下
休克
SIRS
重症感染
营养不良
关于多器官功能不全综合征MODS以下哪个是错误的
MODS常指急性疾病过程中发生的两个或两个以上主要器官功能不全
其特点之一是急性
死亡率高
凡是两个或两个以上的主要器官功能不全就是MODS
MODS最好的治疗是预防
可以导致多器官功能障碍综合征MODS的疾病中不包括
急性出血坏死型胰腺炎
慢性胆囊炎
烧伤
休克
绞窄性肠梗阻
可以导致多器官功能不全综合征MODS的疾病中不包括
急性出血坏死型胰腺炎
慢性胆囊炎
休克
烧伤
绞窄性肠梗阻
多器官功能不全综合征MODS所包括的系统或器官是
肾脏
呼吸系统
胃肠道
肝脏
血液系统
多脏器功能不全综合征mu1tip1eorgandysfunctionsyndromeMODS
多器官功能不全综合征MODS发病机制中共同的病理生理变化是什么如何预防MODS的发生
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男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊为明确诊断需先行哪项检查
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男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊该患者目前的诊断应是
影响创伤愈合最常见的局部因素是
有关术后腹部切口裂开的预防措施中下列哪项是错误的
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男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊询问病史的重点应是
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男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊该患者诊断可能为
男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊若需明确诊断则下一步需作的是
Ineconomicsthevalueaddedbyamanufacturingfirmtoitsproductsisthedifferencebetweenthepriceofafinishedproductandthecostofrawmaterialspartssuppliesfuelandelectricalenergyusedintheproductionofthatproduct.When1inthismannerthevalueaddedbymanufactureisausefulindexofthemanufacturingfirm’’s2tothenationaleconomy.Itisamore3indexofcoursethan4salesafigurethatismisleadingbecauseittells5aboutproductioncostsand6themanufacturingfirmis7ataprofitorataloss. Ineducationthereisnowaspirited8astowhethersuchaconceptwouldnotbemost9forcollegegraduatesisevidently10inthesalariestheycancommand11receiptofacollegedegree.Engineersaccountantsandcomputerspecialistscommand12salariesupongraduationandbyimplicationtheremustbean13valueaddedtotheirmarketability14theeducationandtrainingthey15incollege.Whenlookedatmoreclosely16themissingfactoris17thedifferencebetweenlearnercapabilities18totheireducationalexperiencesandgraduatecapabilitiesafter19acollegedegree.Inbriefhowmuchdoesthestudent20fromtheinstructionheorshehasreceived
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肺毛细血管楔压低于多少时表示心脏前负荷降低有效循环血量不足
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Thatexperiencesinfluencesubsequentbehaviourisevidenceofanobviousbutneverthelessremarkableactivitycalledremembering.Learningcouldnotoccurwithoutthefunctionpopularlynamedmemory.Constantpracticehassuchaneffectonmemoryastoleadtoskilfulperformanceonthepianotorecitationofapoemandeventoreadingandunderstandingthesewords.So-calledintelligentbehaviourdemandsmemoryrememberingbeingaprimaryrequirementforreasoning.Theabilitytosolveanyproblemoreventorecognizethataproblemexistsdependsonmemory.Typicallythedecisiontocrossastreetisbasedonrememberingmanyearlierexperiences. Practiceorreviewtendstobuildandmaintainmemoryforataskorforanylearnedmaterial.Overaperiodofnopracticewhathasbeenlearnedtendstobeforgotten;andtheadaptiveconsequencesmaynotseemobvious.Yetdramaticinstancesofsuddenforgettingcanbeseentobeadaptive.Inthissensetheabilitytoforgetcanbeinterpretedtohavesurvivedthroughaprocessofnaturalselectioninanimals.Indeedwhenone’’smemoryofanemotionallypainfulexperienceleadstoseriousanxietyforgettingmayproducerelief.Neverthelessanevolutionaryinterpretationmightmakeitdifficulttounderstandhowthecommonlygradualprocessofforgettingsurvivednaturalselection. Inthinkingabouttheevolutionofmemorytogetherwithallitspossibleaspectsitishelpfultoconsiderwhatwouldhappenifmemoriesfailedtofade.Forgettingclearlyaidsorientationintimesinceoldmemoriesweakenandthenewtendtostandoutprovidingcluesforinferringduration.Withoutforgettingadaptiveabilitywouldsuffer;forexamplelearnedbehaviourthatmighthavebeencorrectadecadeagomaynolongerbe.Casesarerecordedofpeoplewhobyordinarystandardsforgotsolittlethattheireverydayactivitieswerefullofconfusion.Thusforgettingseemstoservethesurvivaloftheindividualandthespecies. Anotherlineofthoughtassumesamemorystoragesystemoflimitedcapacitythatprovidesadaptiveflexibilityspecificallythroughforgetting.Inthisviewcontinualadjustmentsaremadebetweenlearningormemorystorageinputandforgettingoutput.Indeedthereisevidencethattherateatwhichindividualsforgetisdirectlyrelatedtohowmuchtheyhavelearned.Suchdataoffergrosssupportofcontemporarymodelsofmemorythatassumeaninput-outputbalance. Fromthelastparagraphweknowthat________________.
AreportconsistentlybroughtbackbyvisitorstotheUSishowfriendlycourteousandhelpfulmostAmericansweretothem.TobefairthisobservationisalsofrequentlymadeofCanadaandCanadiansandshouldbestbeconsideredNorthAmerican.Thereareofcourseexceptions.Small-mindedofficialsrudewaitersandill-manneredtaxidriversarehardlyunknownintheUS.Yetitisanobservationmadesofrequentlythatitdeservescomment. Foralongperiodoftimeandinmanypartsofthecountryatravelerwasawelcomebreakinanotherwisedullexistence.Dullnessandlonelinesswerecommonproblemsofthefamilieswhogenerallyliveddistantfromoneanother.Strangersandtravelerswerewelcomesourcesofdiversionandbroughtnewsoftheoutsideworld. Theharshrealitiesofthefrontieralsoshapedthistraditionofhospitality.Someonetravellingaloneifhungryinjuredorilloftenhadnowheretoturnexcepttothenearestcabinorsettlement.Itwasnotamatterofchoiceforthetravelerormerelyacharitableimpulseonthepartofthesettlers.Itreflectedtheharshnessofdailylife:ifyoudidn’’ttakeinthestrangerandtakecareofhimtherewasnooneelsewhowould.Andsomedayrememberyoumightbeinthesamesituation. Todaytherearemanycharitableorganizationswhichspecializeinhelpingthewearytraveler.YettheoldtraditionofhospitalitytostrangersisstillverystrongintheUSespeciallyinthesmallercitiesandtownsawayfromthebusytouristtrails.IwasjusttravelingthroughgottalkingwiththisAmericanandprettysoonheinvitedmehomefordinner―amazing.SuchobservationsreportedbyvisitorstotheUSarenotuncommonbutarenotalwaysunderstoodproperly.ThecasualfriendlinessofmanyAmericansshouldbeinterpretedneitherassuperficialnorasartificialbutastheresultofahistoricallydevelopedculturaltradition. AsistrueofanydevelopedsocietyinAmericaacomplexsetofculturalsignalsassumptionsandconventionsunderliesallsocialinterrelationships.Andofcoursespeakingalanguagedoesnotnecessarilymeanthatsomeoneunderstandssocialandculturalpatterns.Visitorswhofailtotranslateculturalmeaningsproperlyoftendrawwrongconclusions.ForexamplewhenanAmericanusesthewordfriendtheculturalimplicationsofthewordmaybequitedifferentfromthoseithasinthevisitor’’slanguageandculture.Ittakesmorethanabriefencounteronabustodistinguishbetweencourteousconventionandindividualinterest.YetbeingfriendlyisavirtuethatmanyAmericansvaluehighlyandexpectfrombothneighborsandstrangers. Itcouldbeinferredfromthelastparagraphthat___________.
Agreenhouseeffectwillraisetheearth’’stemperatureenoughbytheyear2100tocausedramaticclimatechangesincreasesealevelsanddisruptfoodproductionUnitedStatesscientistssaidthisweek. Theearth’’satmosphereisheatingataratethatcouldmeantemperaturerisesoftwodegreescentigradebythemiddleofthe21stcenturyandfivedegreescentigradebytheyear2100accordingtoareportissuedbytheUSgovernment’’sEnvironmentalProtectionAgencyEPA. SubstantialincreasesinglobalwarmingmayoccursoonerthanmostofuswouldliketobelievetheEPAsaid. Theagencysaidthefirsteffectsmightbefeltasearlyas1990becausetemperatureswouldberisingmorethanseventimesfastereachdecadebetweennowandtheyear2100thantheyhadbeenforthepast100years. TemperatureincreasesarelikelytobeaccompaniedbydramaticchangesinprecipitationandstormpatternsandariseinglobalaveragesealeveltheEPAreportsaid. Asaresulttheagencysaidagriculturalconditionswillbesignificantlyalteredenvironmentalandeconomicsystemspotentiallydisrupted. TheEPAreportsaidtheburningoffossilfuelswasdirectlyresponsibleformostoftheatmospherebuild-upofcarbondioxidebutthecurrentconcentrationissogreatthatevenaworldwidebanontheuseofsuchfuelswoulddelaythewarmingeffectforonlyafewyears. Awarmerclimatewillraisesealevelsbyheatingandexpandingtheworld’’soceansandcausingglacierstomelttheEPAsaid. Theagencyestimatedthatsealevelscouldriseanythingbetween48to380cminthenext120years. Anincreaseofeven48cmcouldfloodorcausestormdamagetomanyofthemajorportsoftheworlddisrupttransportationnetworksalterunderwaterecologysystemsandcausemajorshiftsinlanddevelopmentpatterns. Onestudycitedinthereportsuggestedthatiftheaverageglobaltemperatureroseby2.5degreescentigraderegionalclimaticconditionsmightbesimilartothoseduringthelastinterglacialperiod120000yearsago. Duringthisperiodoceanswerefivetosevenmetreshigherthantoday’’sfloodingtheshoresofEuropeandwesternSiberiaandmakingScandinaviaanisland. Theagencysaidthatwhilethewarmingtrendcouldhavesomebeneficialeffectssuchasreducingheatingcostsandimprovingclimateandgrowingseasonsinsomepartsoftheworldtherewouldbedifficultyinredirectingnationaleconomiestoadapttothenewclimatepatterns. TheEPAsaiditseemedunlikelythatthenationsoftheworldwouldreachaconsensusonsteptoreducecarbondioxideemissions.Insteaditurgedmoreresearchonthegreenhouseeffectandstressedtheneedforbetterplanningtocopewiththechangesthewarmingtrendisexpectedtoproduce. Asaresultoftherisingoftheearth’’stemperatureby2100
男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊在该患者的后续治疗中哪项治疗措施是最重要的
女38岁腰痛1年1个月前发现右髂窝肿块X线平片示胸12腰1椎体破坏诊断为胸腰椎结核伴髂窝脓肿下列哪项治疗方案最佳
Ineconomicsthevalueaddedbyamanufacturingfirmtoitsproductsisthedifferencebetweenthepriceofafinishedproductandthecostofrawmaterialspartssuppliesfuelandelectricalenergyusedintheproductionofthatproduct.When1inthismannerthevalueaddedbymanufactureisausefulindexofthemanufacturingfirm’’s2tothenationaleconomy.Itisamore3indexofcoursethan4salesafigurethatismisleadingbecauseittells5aboutproductioncostsand6themanufacturingfirmis7ataprofitorataloss. Ineducationthereisnowaspirited8astowhethersuchaconceptwouldnotbemost9forcollegegraduatesisevidently10inthesalariestheycancommand11receiptofacollegedegree.Engineersaccountantsandcomputerspecialistscommand12salariesupongraduationandbyimplicationtheremustbean13valueaddedtotheirmarketability14theeducationandtrainingthey15incollege.Whenlookedatmoreclosely16themissingfactoris17thedifferencebetweenlearnercapabilities18totheireducationalexperiencesandgraduatecapabilitiesafter19acollegedegree.Inbriefhowmuchdoesthestudent20fromtheinstructionheorshehasreceived
男性70岁慢性咳嗽咳痰20余年每年持续3~4个月近2~3年出现活动后气短有时双下肢水肿今日晨起突感左上胸针刺样疼痛与呼吸有关继之出现呼吸困难大汗不能平卧来院就诊该患者最可能的诊断是
Ineconomicsthevalueaddedbyamanufacturingfirmtoitsproductsisthedifferencebetweenthepriceofafinishedproductandthecostofrawmaterialspartssuppliesfuelandelectricalenergyusedintheproductionofthatproduct.When1inthismannerthevalueaddedbymanufactureisausefulindexofthemanufacturingfirm’’s2tothenationaleconomy.Itisamore3indexofcoursethan4salesafigurethatismisleadingbecauseittells5aboutproductioncostsand6themanufacturingfirmis7ataprofitorataloss. Ineducationthereisnowaspirited8astowhethersuchaconceptwouldnotbemost9forcollegegraduatesisevidently10inthesalariestheycancommand11receiptofacollegedegree.Engineersaccountantsandcomputerspecialistscommand12salariesupongraduationandbyimplicationtheremustbean13valueaddedtotheirmarketability14theeducationandtrainingthey15incollege.Whenlookedatmoreclosely16themissingfactoris17thedifferencebetweenlearnercapabilities18totheireducationalexperiencesandgraduatecapabilitiesafter19acollegedegree.Inbriefhowmuchdoesthestudent20fromtheinstructionheorshehasreceived
Agreenhouseeffectwillraisetheearth’’stemperatureenoughbytheyear2100tocausedramaticclimatechangesincreasesealevelsanddisruptfoodproductionUnitedStatesscientistssaidthisweek. Theearth’’satmosphereisheatingataratethatcouldmeantemperaturerisesoftwodegreescentigradebythemiddleofthe21stcenturyandfivedegreescentigradebytheyear2100accordingtoareportissuedbytheUSgovernment’’sEnvironmentalProtectionAgencyEPA. SubstantialincreasesinglobalwarmingmayoccursoonerthanmostofuswouldliketobelievetheEPAsaid. Theagencysaidthefirsteffectsmightbefeltasearlyas1990becausetemperatureswouldberisingmorethanseventimesfastereachdecadebetweennowandtheyear2100thantheyhadbeenforthepast100years. TemperatureincreasesarelikelytobeaccompaniedbydramaticchangesinprecipitationandstormpatternsandariseinglobalaveragesealeveltheEPAreportsaid. Asaresulttheagencysaidagriculturalconditionswillbesignificantlyalteredenvironmentalandeconomicsystemspotentiallydisrupted. TheEPAreportsaidtheburningoffossilfuelswasdirectlyresponsibleformostoftheatmospherebuild-upofcarbondioxidebutthecurrentconcentrationissogreatthatevenaworldwidebanontheuseofsuchfuelswoulddelaythewarmingeffectforonlyafewyears. Awarmerclimatewillraisesealevelsbyheatingandexpandingtheworld’’soceansandcausingglacierstomelttheEPAsaid. Theagencyestimatedthatsealevelscouldriseanythingbetween48to380cminthenext120years. Anincreaseofeven48cmcouldfloodorcausestormdamagetomanyofthemajorportsoftheworlddisrupttransportationnetworksalterunderwaterecologysystemsandcausemajorshiftsinlanddevelopmentpatterns. Onestudycitedinthereportsuggestedthatiftheaverageglobaltemperatureroseby2.5degreescentigraderegionalclimaticconditionsmightbesimilartothoseduringthelastinterglacialperiod120000yearsago. Duringthisperiodoceanswerefivetosevenmetreshigherthantoday’’sfloodingtheshoresofEuropeandwesternSiberiaandmakingScandinaviaanisland. Theagencysaidthatwhilethewarmingtrendcouldhavesomebeneficialeffectssuchasreducingheatingcostsandimprovingclimateandgrowingseasonsinsomepartsoftheworldtherewouldbedifficultyinredirectingnationaleconomiestoadapttothenewclimatepatterns. TheEPAsaiditseemedunlikelythatthenationsoftheworldwouldreachaconsensusonsteptoreducecarbondioxideemissions.Insteaditurgedmoreresearchonthegreenhouseeffectandstressedtheneedforbetterplanningtocopewiththechangesthewarmingtrendisexpectedtoproduce. TheEPAwarnsusthatunlesstheriseintheearth’’stemperaturewererestrained
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