2岁儿童,突然畏寒、高热、抽搐、昏迷6小时于8月10日入院。体查:T40.5℃,P130次/min,BP8.6/6.2kpa(65/47mmHg),浅昏迷。压眶有反应,瞳孔等大,对光反应存在,未见瘀点、瘀斑,四肢厥冷,脉搏细弱,心、肺(—)。腹软,颈软,克、布氏征(—)。血象:Hb140g/L,WBC15×109/L,N 0.80,L0.20最可能的诊断:
A. 流行性出血热
B. 流行性脑脊髓膜炎
C. 中毒性菌痢
D. 败血症
E. 流行性乙型脑炎
查看答案
对上述患者的及时诊断最重要的检查是:
A. 脑脊液检查
B. 大便培养
C. 肛拭子或生理盐水灌肠镜检
D. 血液生化检查
E. 血培养
关于中毒性痢疾的临床表现下列哪项是错的?
A. 常无明显里急后重
B. 迅速出现循环衰竭和(或)呼吸衰竭
C. 反复惊厥,嗜睡、昏迷
D. 剧烈腹泻、呕吐、迅速出现电解质平衡紊乱
E. 起病急骤,突起畏寒、高热
Fill in the blanks.( havefallnervousharvestmakethankcomeculturewishfriendlytalkdifferentskilledhategooneselfaddress)1. --You speak very good English. --__________ a lot.2.Our president________to work at 7:00 sharp.3. We can understand each other though we have different ____________ background.4.Thank you for________to meet me.5.It is the first time we have_______ a foreign guest.6.She________to get up too early in the morning.7.I always feel__________ before taking the exam.8. Planes___________ her feel tired.9. I'm also________ in using chopsticks.10.Students learn English in__________ ways.11.The mother often ________ about her child with the teacher.12.When autumn comes, the leaves will _________ from the trees.13.Do you often cook by ___________ ?14.People are usually________to strangers.15.Farmers are very busy in autumn, the_________time.16. It's important for us ___________ a man with “Mr.” or “Sir”.17. My friend _______ us to have a good time at the party.