题目内容

患者,男性,71岁,退休工人,发热、咳嗽4天就诊。患者4天前受凉后出现寒战,体温高达39.8℃,伴咳嗽、咳痰,痰量不多,为白色黏痰。无胸痛,无痰中带血,无咽痛及关节痛。病后食欲不振,睡眠差,大小便正常,体重无变化。既往体健,个人史、家族史无特殊。体检:T 39.5℃,P 98次/分,R 22次/分,BP 122/83mmHg。发育正常,营养中等,神志清楚,无皮疹,浅表淋巴结不大,咽部无充血,扁桃体不大,颈静脉无怒张,胸廓无畸形,呼吸平稳,左上肺叩浊,语颤增强,有湿哆音,心界不大,心率105 ak/分,律齐,无杂音,腹软,肝脾未及。实验室检查:RBC 5.5×1012/L,Hb:145g/L,WBC 12.5×109/L;分类Nsg 75%,E1.5%,L 22%,PLT 205×109/L,尿常规(一),粪便常规(一)。
【问题】根据以上资料,请做出初步诊断,并简述诊断依据。
为明确诊断,应进一步做哪些检查?
请帮忙给出每个问题的正确答案和分析,谢谢!

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弱酸性药物中毒时,为加速其排泄应当()。

A. 碱化尿液,解离度增大,增加肾小管再吸收
B. 碱化尿液,解离度减小,增加肾小管再吸收
C. 碱化尿液,解离度增大,减少肾小管再吸收
D. 酸化尿液,解离度减小,增加肾小管再吸收
E. 酸化尿液,解离度增大,减少肾小管再吸收

成人右上肢烧伤,其烧伤面积约为()。

A. 25%
B. 21.5%
C. 16%
D. 12.5%
E. 10.5%

MARRY: Hi, Tim. How do you like your new job?
TIM: I like it. {A.So what do you do there exactly?; B. I just want to be a good team worker and not step on anyone’s toes.; C. But how did you know about my new job?; D. you happen to have that work experience.; E. Can you fill me in on what has been happening?}
MARRY: I just heard through the grapevine that you landed a job in a big car company. {A.So what do you do there exactly?; B. I just want to be a good team worker and not step on anyone’s toes.; C. But how did you know about my new job?; D. you happen to have that work experience.; E. Can you fill me in on what has been happening?}
TIM: Ok, two weeks ago I got a tip that this company wanted to take on some experienced workers who have experience with wireless, electrical car-charging technology.
MARRY: Oh, {A.So what do you do there exactly?; B. I just want to be a good team worker and not step on anyone’s toes.; C. But how did you know about my new job?; D. you happen to have that work experience.; E. Can you fill me in on what has been happening?}
TIM: Well, anyway, I made a beeline over to their office, had an interview with the department manager, and was told to start work the next day.
MARRY: That’s really great. {A.So what do you do there exactly?; B. I just want to be a good team worker and not step on anyone’s toes.; C. But how did you know about my new job?; D. you happen to have that work experience.; E. Can you fill me in on what has been happening?}
TIM: Right now I’m basically just an office worker, but if I’m given the chance, I want to become the Marketing Director there.
MARRY: Don’t tell me you’re already looking for a promotion.
TIM: No, of course not. I’ve got a lot to learn yet. In the meantime, {A.So what do you do there exactly?; B. I just want to be a good team worker and not step on anyone’s toes.; C. But how did you know about my new job?; D. you happen to have that work experience.; E. Can you fill me in on what has been happening?}
MARRY: Well, I wish you luck.
TIM: Thank you.

NEW MATERIAL CAN COOL BUILDINGS
Researchers at Stanford University have developed a new material that can move heat out of buildings and into space. The material can cool buildings even on hot days.
The cooling material is a very thin sheet with many layers that could be placed on a roof like solar panels. However, instead of turning sunlight into energy as solar panels do, the material turns heat into infrared radiation.
Shanhui Fan is an electrical engineering professor at Stanford University. He says that the panels have a layer of material that is like sand. The panels also act like a mirror. They take heat out of buildings and reflect the light from the sun. Both the heat and sunlight are sent 100 kilometers into outer space.
The panels are cool to the touch, even in the sun. Researchers say they can reduce the indoor temperature to nearly 5 degrees Celsius below the temperature outside.
Mr. Fan says it is like having a window into space. He says the heat is sent directly into space without warming the air. Buildings in developing countries that do not have electricity or air conditioning could use the panels.In areas where one is off-grid,there is a significant potential benefit for storing medicine or even food. In many of these situations, being able to reduce the temperature is important. And this would provide a way to do it.
The Stanford researchers described their technology in the science publication _Nature_. They say the main problem is creating actual cooling systems using the high-tech panels. It may be possible to develop a cooling spray technology in the next three to five years that could be used on existing solid structures.
1. The material can cool buildings only on cold days.{T; F}
2. The material turns heat intoinfrared radiation because it is a very thick sheet with many layers that could be placed on a roof like solar panels.{T; F}
3. The heat of the buildings and sunlight are sent 100 kilometers into outer space by the panels.{T; F}
4. The off-grid areas may use the panels to reduce the temperature of buildings to store medicine or even food.{T; F}
5. A cooling spray technology may be developed in the near future that could be used on existing solid structures.{T; F}

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