男,56岁。乏力、食欲减退1个月,症状逐渐加重、尿黄及眼黄1周。2个月前家中装修房子及搬家劳累。慢性乙型肝炎20年,无明显症状,未监测肝功能,未进行抗HBV治疗。查体:慢性病容,神志清,皮肤巩膜黄染,腹部胀气,脾于肋下可触及,腹水征可疑。实验室检查:ALT250U/L,AST300U/L,TBiL300umol/L,ALB30g/L,HBsAg(+),抗HBc(+),HBVDNA6×107拷贝/ml。为遏制病情进展,最需要的药物治疗是
男,45岁。腹部撞伤后脐周2小时,呈持续性,伴恶心,无呕吐,腹部范围迅速扩大。查体:P126次/分,BP146/90mmHg,全腹肌紧张,压痛和反跳痛阳性,肠鸣音消失。准备剖腹探查。手术治疗的原则不包括
女,64岁。拟行直肠癌根治术。2型糖尿病病史20余年。现每日皮下注射胰岛素,平素晨起应用胰岛素12U。空腹血糖常为7~10mmol/L,尿糖(+~++)。下列围手术期处理不恰当的是
—Icametoyourofficeyesterdaymorning,butnobodywasin.
—Oh,we__________ameetinginthemeetingroom.
Ihavea[sore]throatfromcold.
It____alsocreatemorefocusedteamsandlesswastedtime.
Itisobviousthatthisnewruleisapplicabletoeveryonewithout_____.
ProjectHopeisanorganization_____raisesmoneytobuildschoolsandbuybooksforpoorchildren.
Onwhichdayisthemeetinggoingtotakeplace?
I______thatIwereabird.
______hardworkitis!
Asthenumberofparticipantshasincreasedfrom60to98,wewonderifwecanuseLectureHall'A'as'B'willbetoosmall.
Nora:Howlonghasthisbookshopbeeninbusiness?
Michel:______1982.