女,32岁,持续性高血压186/115mmHg,无明显阵发性血压剧升现象,平时多尿,尤以夜尿为甚,多饮,四肢乏力,行动不便,曾怀疑尿路感染,服用多种抗生素、中药及一般降血压药无明显效果,类似情况已3年余,入院检查:血常规正常,尿培养无细菌生长。血电解质:钾2.9mmol/L,钠148mmol/L,二氧化碳结合力38mmol/L,剩余碱5mmol/L,血糖6.0mmol/L,尿素氮9.3mmol/L。B超:左肾上腺有1.6cm~1.5cm占位性病变,初步诊断为左肾上腺皮质肿瘤,拟行手术治疗。治疗方法应选择()
A. 左肾上腺全切除术
B. 左肾上腺肿瘤摘除术
C. 双肾上腺切除术+皮质类固醇替代治疗
D. 左肾上腺全切除+右肾上腺部分切除术
E. 非手术药物治疗
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女性,30岁。反复皮肤瘀点、瘀斑伴月经量增多半年来诊。体检:轻度贫血貌,肝脾肋下未扪及,皮肤可见瘀点,下肢有瘀斑多处。门诊血常规检查:Hb86g/L,WBC6.5×109/L。 【假设信息】假如检查结果是Hb40g/L,血小板34×109/L,血清铁蛋白12μg/L,出、凝血时间正常,骨髓涂片增生明显活跃,红系占0.60(60%),巨核细胞140个/全片,颗粒型巨核细胞占0.92(92%),网织红细胞0.20(20%),Coombs试验直接阳性,间接反应阴性。患者最可能的诊断是()
A. 缺铁性贫血
B. 血性贫血
C. 巨幼细胞性贫血
D. Evan综合征合并缺铁性贫血
E. 原发性血小板减少性紫癜合并缺铁性贫血
患儿男,胎龄40周,因“羊水胎粪污染,胎心减慢”行剖宫产。Apgar评分:生后1min2分;经清理呼吸道,面罩皮囊加压给氧后5min8分。复苏后转入NICU病区。查体:T36.5℃,P156次/min,R65次/min;体重3.4kg;气促,面色发绀,呻吟,吸气性凹陷明显;肺部可闻及啰音,心前区未闻及杂音;腹部稍膨隆,肝肋下3cm;四肢肌张力偏低;生理反射减弱。此时必要的处理包括(提示治疗过程中患儿突然出现面色发灰,氧饱和度下降,双肺呼吸音降低,可闻及大量湿性啰音。)()
A. 加强抗感染用药
B. 输血
C. 提高呼气末正压
D. 严格限制进液量
E. 纠正酸中毒
F. 撤离呼吸机
蛇床子为菊科植物蛇床的成熟果实,呈椭圆形。()
A. 正确
B. 错误
You are the network administrator for The network consists of a single Active Directory domain named All five domain controllers run Windows Server 2003, and all client computers run Windows XP Professional. The domain's audit policy ensures that all account logon events are audited. A temporary employee named King uses a client computer named TestKing1. When King's temporary assignment concludes, his employment is terminated. Now you need to learn the times and dates when King logged on to the domain. You need to accomplish this goal by reviewing the minimum amount of information. What should you do?()
A. Log on to TestKing1 as a local Administrator. Use Event Viewer to view the local security log. Use the Find option to list only the events for King's user account.
B. Log on to TestKing1 as a local Administrator. Use Event Viewer to view the local security log. Use the Find option to list only the events for the TestKing1 computer account.
C. Use Event Viewer to view the security log on each domain controller. Use the Find option to list only the events for King's user account.
D. Use Event Viewer to view the security log on each domain controller. Set a filter to list only the events for King's user account.
E. Use Event Viewer to view the security log on each domain controller. Set a filter to list only the events for the TestKing1 computer account.