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为了鉴别急性胆道感染和胃穿孔,宜采用下列哪项检查
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下列哪项不是胆道感染的鉴别疾病
消化道穿孔
急性胃肠炎
急性阑尾炎
急性胰腺炎
胆道蛔虫病
黄疸伴右上腹钻顶样痛见于
急性肝炎
急性胆囊炎
胆道蛔虫症
急性胰腺炎
胃穿孔
急性腹痛考虑胰腺炎还需与下列哪些疾病相鉴别
溃疡病穿孔
胆囊穿孔
急性胃炎
胆道结石
急性较窄性肠梗阻
以下哪一项不是胆道感染的鉴别疾病
消化道穿孔
急性胃肠炎
急性阑尾炎
急性胰腺炎
胆道蛔虫病
为了鉴别急性胆道感染和胃穿孔下列哪些检查是错误的
作静脉胆道造影明确诊断
作经皮肝穿刺造影明确诊断
作口服胆道造影明确诊断
B超
作纤维胃镜了解穿孔部位
为鉴别急性胆道感染和胃穿孔那些检查是错误的
作静脉胆道造影明确诊断
经皮肝穿刺造影
口服法胆道造影
超声
胃镜了解穿孔部位
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Therelationoflanguageandmindhasinterestedphilosophersformanycenturies.61TheGreeksassumedthatthestructureoflanguagehadsomeconnectionwiththeprocessofthoughtwhichtookrootinEuropelongbeforepeoplerealizedhowdiverselanguagescouldbe. Onlyrecentlydidlinguistsbegintheseriousstudyoflanguagesthatwereverydifferentfromtheirown.Twoanthropologist-linguistsFranzBoasandEdwardSapirwerepioneersindescribingmanynativelanguagesofNorthandSouthAmericaduringthefirsthalfofthetwentiethcentury.62Weareobligedtothembecausesomeoftheselanguageshavesincevanishedasthepeopleswhospokethemdiedoutorbecameassimilatedandlosttheirnativelanguages.Otherlinguistsintheearlierpartofthiscenturyhoweverwhowerelesseagertodealwithbizarredatafromexoticlanguagewerenotalwayssograteful.63ThenewlydescribedlanguageswereoftensostrikinglydifferentfromthewellstudiedlanguagesofEuropeandSoutheastAsiathatsomescholarsevenaccusedBoasandSapiroffabricatingtheirdata.NativeAmericanlanguagesareindeeddifferentsomuchsoinfactthatNavajocouldbeusedbytheUSmilitaryasacodeduringWorldWarIItosendsecretmessages. Sapir’’spupilBenjaminLeeWhorfcontinuedthestudyofAmericanIndianlanguages.64BeinginterestedintherelationshipoflanguageandthoughtWhorfdevelopedtheideathatthestructureoflanguagedeterminesthestructureofhabitualthoughtinasociety.Hereasonedthatbecauseitiseasiertoformulatecertainconceptsandnotothersinagivenlanguagethespeakersofthatlanguagethinkalongonetrackandnotalonganother.65Whorfcametobelieveinasortoflinguisticdeterminismwhichinitsstrongestformstatesthatlanguageimprisonsthemindandthatthegrammaticalpatternsinalanguagecanproducefar-reachingconsequencesforthecultureofasociety.LaterthisideabecametobeknownastheSapir-Whorfhypothesisbutthistermissomewhatinappropriate.AlthoughbothSapirandWhorfemphasizedthediversityoflanguagesSapirhimselfneverexplicitlysupportedthenotionoflinguisticdeterminism.
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