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女,28岁。劳累后心悸、气短6年,加重伴咳粉红色泡沫痰1周。查体:心界扩大,心律绝对不齐,心尖部可闻及双期杂音。超声心动图示二尖瓣重度狭窄及中度关闭不全。该患者最恰当的治疗方案是

A、先抗心衰治疗,择期行二尖瓣瓣膜修补术
B、先抗心衰治疗,择期行二尖瓣置换术
C、立即行二尖瓣球囊扩张术
D、抗心衰治疗后口服药物治疗,随访
E、立即行二尖瓣置换术
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正确答案:

B

答案解析:

暂无解析

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TroublewithTeamwork

MaryOwenexaminestheroleandefficiencyofteams

Recruiterssaythatcandidateswhocangiveexamplesofworktheyhavedoneasmembersofasuccessfulteamareinasstrongapositionasthosewhocanpointtosignificantindividualachievement.Indeed,toomuchofthelattermaysuggestthatthepersonconcernedisnota'teamplayer'-oneofthemoreseriousfailingsinthebookofmanagement.

Theimportanceofbeingateamplayerisasideeffectoftheincreasinginteractionacrossdepartmentsandfunctionaldivides.Insteadofpushingreports,paperworkanddecisionsaroundtheorganisation,'teamsprovideadynamicmeetingplacewhereideascanbesharedandexpertisemorecarefullytargetedatimportantbusinessissues,'saysSteveGardner,inhisbookKeyManagementConcepts.Headds,'Globalisationhasaddedafurtherdimensiontoteamwork.Multinationalteamsnowstudypolicydecisionsinthelightoftheirimpactonthelocalmarket.'

Butisteamworkingbeingoverdone?'Somemanagersareonasmanyassevenoreightdifferentteams',saysDrCathyBandy,apsychologistwhorecentlyranaconferenceonthesubject.'Theytakeupsomuchtimethatmanagerscan'tgetonwithcoretasks.'Formingteamsandhavingmeetingshas,shesays,becomeanendinitself,almostregardlessofpurpose.Thereisalsothedangerofanunhealthydesiretokeeptheteamgoingaftertheworkhasbeendone.'Peoplefeeltheneedtobelong,andteammembershipcanprovideakindofpsychologicalsupport.'

Theideabehindteamworkingisthat,whentherightgroupofpeopleisbroughttogether,a'force'developswhichisgreaterthanthesumoftheirindividualtalents.Thisisoftentrueinsport,wheregoodplayerscanreachunexpectedheightsasmembersofaninternationalteam.However,fewbusinesssituationshaveasclearasetofobjectives,orasclearcriteriaofsuccessorfailure,aswinningamatch.

'Inbusiness,everyoneneedstobeclearaboutwhatthechallengeisandwhetherateamistherightwayofapproachingit',saysSteveGardner.'Unfortunately,peoplefocusinsteadonwhothemembersoftheteamshouldbeandwhatrolestheyaretoplay'DrBandyagrees.'Thereisalwaysadangerthatteamscanturnintocommittees,'shesays.'Inalotofsituations,oneortwoindividualswouldbemuchmoreeffective.'

Sowhatmakesasuccessfulteam?Therearesomegeneralqualitiesthathavebeenidentified.SteveGardnerrecommendsthatineveryteamthereshouldbesomeonewhoisgoodatresearchingideasandanotherwhoisgoodatshootingdownimpracticalones.Thereshouldbethosewhocanresolvethetensionsthatnaturallyoccurinateamandotherswhoarefocusedongettingthejobdone.Also,providingaclearandachievabletargetattheoutsetisthebestwayofensuringthattheteamwillmoveontogreaterthings.

13、Whatpointdoesthewritermakeaboutteamworkingatthebeginningofthearticle?

AItisthemostsuccessfulformofmanagement.

BIthaschangedtherecruitmentprocedureincompanies.

CWell-runteamsstillallowindividualstodemonstratetheirtalents.

DBeingateamplayerisnowconsideredanessentialmanagementskill.

14、Accordingtothearticle,teamworkdevelopedwithincompaniesasaresponseto

Amodernofficedesign.

Bchangingworkpractices.

Careductioninadministrativetasks.

Dtheexpansionofinternationalbusiness.

15、Inthethirdparagraph,DrBandysuggeststhat

Amanyemployeesdonotenjoyworkinginteams.

Bsomemanagersarenotveryeffectiveteamleaders.

Csometeamsarecreatedunnecessarily.

Dfewteamsarewellorganised.

16、Accordingtothewriter,teamworkismoreeffectiveinthefieldofsportbecausetheplayers

Aknowwhattheywanttoachieve.

Baremorecompetitivebynature.

Chavemoreindividualtalent.

Dcanbedrivenbynationalpride.

17、SteveGardnerandDrBandyagreethatwhenabusinessteamiscreatedpeopledonotpayenoughattentionto

Athestructureoftheteam.

Balternativestotheteam.

Cselectingtheteammembers.

Ddirectingtheteam'sactivities.

18、WhatisSteveGardner'sadviceonoperatingasuccessfulteam?

AMaintainaflexibleapproachtomembership.

BAllowpersonalitiestodevelopwithintheteam.

CSelectpeoplewhofitnaturallyintocertainroles.

DMakeeveryefforttoavoidconflictbetweenmembers.

CignaInsuranceCompanyoffersemployeestheoptionofplacingtake-outmealorderswiththecompanychef.

Everybodyhasarrived.It'stimewe____.

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