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听诊在胸骨左缘第3～4肋间有Ⅲ～Ⅳ级粗糙的全收缩期杂音，向周围传导，P2亢进，有震颤，可能的诊断是
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患儿男，8个月。体重8kg，12月起病，呕吐、腹泻2天入院。呕吐呈非喷射状，呕吐物为胃内容物，每日2～3次。大便为稀水样，无黏液脓血，每日10多次，每次量多，伴尿少及口渴。体检：T38℃，神志清楚，前囟、眼眶凹陷，皮肤弹性差，四肢末端稍凉，未见大理石样花纹，心、肺无异常。血清钠为138mmol／L。补充累积损失量的液体性质为（）
Creating the Logistics Vision Nowadays,most companies are familiar with the idea of "mission statement"as an expression of setting a vision for the business.The mission statement seeks to define the pur-pose of the business,its boundaries and its aspirations.It is now common for organizations to have such statement for the business as a whole and for key constituent components.What some companies have found is that there can be significant benefits to defining the lo-gistics vision of the firm. The purpose of the logistics vision statement is to give a clear indication which business intends to build a position of advantage through closer customer relationship.Such state-ment is never easy to construct.There is always the danger that they will publish the ener-getic and encouraging declaration that give everyone a warm feeling but provide no guideline for action. Ideally the logistics vision should be built around the simple issue of"How do we intend to use logistics and supply chain management to create value for our customers?"To realize this idea will necessitate a detailed understanding of how customer value is created and deliv-ered in the market in which the business competes.Value chain analysis will be a fundamen-tal element in this investigation as will the definition of the core competencies and capabilities of the organization.Asking the question"What activities dowe excel in?"and"What is it that differentiates us from our competitors?"is the starting point for creating the logistics vision statement. Earlier,it was suggested that the three words"Better,Faster,Cheaper"summarizes the ways in which logistics vision statement can provide value for customers.The criterion for good logistics vision statement is that it should provide the road map for how these three goals are to be achieved． Questions:What does mission statement intend to do？（）
Creating the Logistics Vision Nowadays,most companies are familiar with the idea of "mission statement"as an expression of setting a vision for the business.The mission statement seeks to define the pur-pose of the business,its boundaries and its aspirations.It is now common for organizations to have such statement for the business as a whole and for key constituent components.What some companies have found is that there can be significant benefits to defining the lo-gistics vision of the firm. The purpose of the logistics vision statement is to give a clear indication which business intends to build a position of advantage through closer customer relationship.Such state-ment is never easy to construct.There is always the danger that they will publish the ener-getic and encouraging declaration that give everyone a warm feeling but provide no guideline for action. Ideally the logistics vision should be built around the simple issue of"How do we intend to use logistics and supply chain management to create value for our customers?"To realize this idea will necessitate a detailed understanding of how customer value is created and deliv-ered in the market in which the business competes.Value chain analysis will be a fundamen-tal element in this investigation as will the definition of the core competencies and capabilities of the organization.Asking the question"What activities dowe excel in?"and"What is it that differentiates us from our competitors?"is the starting point for creating the logistics vision statement. Earlier,it was suggested that the three words"Better,Faster,Cheaper"summarizes the ways in which logistics vision statement can provide value for customers.The criterion for good logistics vision statement is that it should provide the road map for how these three goals are to be achieved． Questions:How should a logistics vision statement add value to its customers？（）
治疗呕吐的主穴是（）
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