患者,女,60岁,剑突下持续性疼痛6小时,寒战、高热伴黄疸。既往有类似发作史。查体:神志淡漠,体温39℃,血压10.7/8kPa(80/60mmHg),脉搏120次/分,剑突下压痛,肌紧张,白细胞26×109/L,中性95%。肝区叩击痛,血清胰淀粉酶240索氏单位,可能的诊断为()。
A. 急性胰腺炎
B. 急性胆囊炎
C. 急性梗阻性化脓性胆管炎
D. 胆道蛔虫症
E. 溃疡病穿孔
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女孩,3岁。无明显诱因突然意识丧失,四肢强直,口吐白沫,两眼凝视上翻,面色发绀,小便失禁。查体:意识不清,双侧瞳孔等大等圆,对光反射迟钝,四肢肌张力高,有小抽动,心肺无异常。患儿有类似发作1次,家族中无类似患者。最急需的适当治疗是()
A. 静滴葡萄糖酸钙
B. 保持呼吸道通畅
C. 肌内注射地西泮止痉
D. 正压人工呼吸
E. 抗感染
男性,60岁,确诊多发性骨髓瘤4个月,目前仍在化学治疗中,昨日发生右肾绞痛,肉眼血尿就诊。体检:肾区叩痛明显,尿本-周蛋白(+),红细胞满视野,超声检查右肾中度积水,血肌酐220μmol/L,血尿酸760μmol/L,血钙2.75mmol/L。发生上述症状最可能的原因是()
A. 痛风
B. 骨髓瘤并发高尿酸血症,尿酸结石
C. 血块阻塞输尿管
D. 高钙血症致肾结石形成
E. 肾小管酸中毒
The following configuration commands exist only in an implementation plan document. An engineer does a copy/paste of these commands into configuration mode on Router R1. Which of the following answers is m ost accurate regarding the results?() ip sla 1 icmp - echo 1.1.1.1 source -ip 2.2.2.2 ip sla schedule 1 start - time now life forever
A. The SLA operation will be configured but will not start until additional commands are used
B. The SLA operation is not comp letely configured so it will not collect any datA
C. The SLA operation is complete and working, collecting data into the RTTMON MIB
D. The SLA operation is complete and working but will not store the data in the RTTMON MIB without more configuratio