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病例摘要：李某，女，59岁，教师。患者于10年前开始偶尔于饮酒或浓茶、咖啡后出现心慌，无其他不适，约1、2分钟后自行缓解。10年来心慌症状有逐渐加重的趋势，但一直未予治疗。近1个月来，由于工作持续劳累，经常加班，导致症状明显增多，几乎每日发作，有时候持续1、2个小时不能缓解。心慌气短，活动尤甚，眩晕乏力，面色无华。查体：T36.2℃，P84次/分，R20次/分，BP120/80mmHg。心率98次/分，心律绝对不齐，肝脾未及，双下肢无浮肿。舌质淡，苔薄白，脉沉细。辅助检查：心电图呈房颤律，心室率80次/分。24小时动态心电图，提示发作性频发快速性房颤。答题要求：1．根据上述病例摘要，在答题卡上完成书面辨证论治。 2．鉴别诊断：请与室性期前收缩相鉴别。

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有一对来咨询的年轻夫妇，女方痛苦地说：“他阳痿，要是治不了我们就离婚了！”原来两口子结婚两年，却一直未能成功地同房。女方已经28岁，求子心切，非常焦急。女方描述丈夫能够正常勃起，但是不能坚持到性生活成功。男方反映其夜间勃起和晨间勃起完全正常。女方经妇科检查发现，处女膜已破，排除了其肥厚问题。但连常规的妇科指诊检查都无法进行。据了解，女方曾因结肠炎而有过乙状结肠镜检查史，检查时的剧痛给她留下深刻印象，加上同学们对新婚之夜疼痛的渲染，使她害怕性交，始终拒绝丈夫的成功尝试。当丈夫的每次努力都因为女方的极力推阻无功而返时，勃起也就自行消退。男方治疗两年，毫无起色，双方前来咨询。本案中丈夫的问题在于（）。

A. 性生活时能够正常勃起
B. 夜间和晨间勃起正常
C. 每次努力都因女方的极力推阻无功而返
D. 不了解问题出自女方

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管住边境，推进“三覆盖”，“三覆盖”是什么？

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患者女性，19岁。时有头痛，头昏，四肢麻木，恶心呕吐9天，皮肤黄染，说话不清楚三天。高热，气急，伴意识模糊一天入院。体检：BP：150/100mmHg，T：37．8℃，神志不清，端坐呼吸次/分，烦燥不安，巩膜微黄，皮肤有瘀点，心率148次/分，律齐，两肺有湿啰音，腹平软，肝脾肋下可触及，质软。颈软，克氏征阳性，双侧巴彬斯基征阳性。检查提示：Hb：70g/L，WBC：12．1×10⁹/L，分类中晚幼粒0．02，杆状0．07，分叶0．68，淋巴0．21，单核0．02．分类100只细胞见到中幼红2只，晚幼红3只．血小板计数40×10⁹/L，网织红细胞计数0．08，尿蛋白+，红细胞++，尿胆元强阳性，尿胆红素阴性，血清谷丙转氨酶45μ，胆红素1．8mg/dl，以间接胆红素为主，BUN：16mg/dl。此时应考虑哪些初步诊断（）

A. 急性黄色肝萎缩
B. 亚急性黄色肝萎缩
C. 血小板减少性紫癜
D. 血栓性血小板减少性紫癜
E. 溶血性尿毒综合征
F. Evan’S综合征

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You are the network administrator for The network consists of a single Active Directory domain named All servers run Windows Server 2003. All client computers run Windows XP Professional. purchases a host-connectivity gateway application developed by an independent software vendor. You need to install the application on a Windows Server 2003 computer named TestKing2. A support technician named Marie is assigned to install the application. Marie's user account is not a member of the Administrator's group on TestKing2. The installation fails and displays an error message stating the user account used for installing the application needs to be a member of the local Administrators group. Your user account is a member of the Domain Admins group. You want to enable Marie to install applications, but you do not want her to be able to make other changes on TestKing2. What should you do?（）

A. Log on locally on TestKing2 as the local administrator. On TestKing2, in Control Panel, start Add or Remove Programs. Instruct Marie to install the application.
B. Use the Run as option to start the Add or Remove Programs Control Panel item on TestKing2. Provide the credentials of the local Administrator account. Instruct Marie to install the application.
C. Make Marie's user account a member of the local Administrators group on TestKing2. Instruct him to log on locally by using his user account and to install the application.
D. Instruct Marie to log on locally and to send a Remote Assistance request to you. Accept the request, and take remote control of the session. On TestKing2, in Control Panel, start Add or Remove Programs. Instruct Marie to install the application.

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