患者女性,70岁,因气急2天伴意识模糊4小时来院急诊。患者约半月前爬山时不慎划伤右小腿,创口未愈合,并持续流脓,2天前呼吸较急促,并渐加重,尿量减少,4小时前出现意识模糊。无咳嗽咳痰,无慢性心肺疾病史。提示:体检:T39℃,P120次/分,R28次/分,BP70/45mmHg,SPO291%。意识模糊,肢端湿冷,颈静脉无怒张,呼吸急促,两肺可闻及少量细湿啰音,心率快,未闻及病理性杂音,腹平软,无压痛,肝脾未触及,右小腿有一约2cm×2cm创口,有脓性分泌物。提示:经快速补液,血压升至80/60mmHg,胸片提示两肺毛玻璃样改变,血糖11mmol/L,血尿素氮(BUN):50mmol/L,肌酐221μmol/L(2.5mg/dl)。提问:目前患者可能的诊断是什么()
A. 感染性休克
B. 心源性休克
C. 重症肺炎
D. 昏迷
E. 脑血管意外
F. 糖尿病伴昏迷
G. 糖尿病足
You work as a network exchange administrator at company.com.thecompany.com network currently consists of a single active directory forest containing a single domain named company.com.the company.com organization makes use of microsoft exchange server 2010 as their messaging solution.in each of the organizational units in the company.com forest, a user has been identified to manage recipients in their specific organizational units.During the course of the business week you receive instruction from company.com to ensure that these chosen users will indeed have the ability to manage recipients in a specific organizational unit (ou).what should you do?()
A. you should consider using role based access control (rbac) and having a new management scope created.
B. you should consider using role based access control (rbac) and having the default management scope modified.
C. you should consider having a new direct role assignment created.
D. you should consider having a new management role assignment policy created.