患儿,女,10个月,因“腹泻伴呕吐3天,尿少1天”入院。大便每天7~8次,量多,呈蛋花样,略带腥臭。患儿以牛奶喂养为主,乳具较少消毒。既往无腹泻史。查体:T37.9℃P140次/分,R60次/分,精神差,哭时泪少,前囟及眼窝凹陷,口唇干燥,心肺无异常。腹胀,肝脾未见异常,肠鸣音弱,四肢肌张力稍低。大便常规:色黄,有黏液WBC0~5/HP,血钠140mmol/L,K2.8mmol/L,BE-16mmol/L。开始24小时的补液总量及选用的液体应为()
A. 60~90ml/kg,1/3张
B. 90~120ml/kg,1/2张
C. 150~180ml/kg,2/3张
D. 180~200ml/kg,1/3张
E. 120~150ml/kg,1/2张
F. 120~150ml/kg,1/3张
G. 90~120mL/kg,2/3张
H. 150~180ml/kg,1/2张
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二十二岁女性患者,因用砖头砸伤自己头面部3天,疑人害半个月急诊入院。据家属反映患者在半个月前因觉得自己做错了事,进而出现怀疑别人要害她,要抓她去坐牢,因而非常害怕,甚至觉得自己的亲人也在害自己,3天前因担心被人抓去坐牢,觉得还不如自己死了算了,自己在厕所里用砖头砸伤自己头部,导致头面部受伤很严重,左眼眶青紫,头前部隆起。患者目前仍有抑郁情绪,能自行进食,愿意服药,此时可作何处理()
A. 将舒必利停用
B. 口服抗抑郁药
C. 继续舒必利静脉治疗
D. 电休克治疗
E. 口服奥氮平
F. 改成口服舒必利
Your company has a single Active Directory domain. The company has a main office and a branchoffice. Both the offices have domain controllers that run Active Directory-integrated DNS zones. All client computers are configured to use the local domain controllers for DNS resolution. The domain controllers at the branch office location are configured as Read-Only Domain Controllers (RODC).You change the IP address of an existing server named SRV2 in the main office. You need the branch office DNS servers to reflect the change immediately. What should you do?()
A. Run the dnscmd /ZoneUpdateFromDs command on the branch office servers.
B. Run the dnscmd /ZoneUpdateFromDs command on a domain controller in the main office.
Change the domain controllers at the branch offices from RODCs to standard domain controllers.
Decrease the Minimum (default) TTL option to 15 minutes on the Start of Authority (SOA) record for the zone.
患者男,42岁,因“发现左侧睾丸持续增大1年,左侧阴囊疼痛1d”来诊。患者于20年前因左侧隐睾行左侧睾丸下降固定术,自述左侧睾丸降入阴囊后较对侧明显偏小。近1年,患者发现左侧阴囊内睾丸持续增大,无发热、疼痛及尿路刺激症状。1d前,突然出现左侧阴囊疼痛伴睾丸迅速增大。查体:左侧睾丸肿物约6cm×8cm,触痛明显,透光试验(-),有沉重感。该患者初步诊断应排除的是(提示如果AFP279ng/ml,IVU检查未见异常。)()
A. 精母细胞性精原细胞瘤
B. 典型精原细胞瘤
C. 卵黄囊瘤
D. 畸胎瘤
E. 胚胎癌
F. 绒癌
G. 混合性睾丸肿瘤
H. 恶性淋巴瘤
继发性腹膜炎的腹痛特点是()。
A. 阵发性全腹绞痛
B. 逐渐加重的阵发性腹痛
C. 剧烈持续性全腹痛,原发部位显著
D. 高热后全腹痛
E. 疼痛与进食有关