第4题: [单项选择]男性,6岁,持续发热15天,体温39~39.5℃,伴腹泻每日3~5次。体检:精神萎靡,心率72次/分,肝右肋下2cm,脾肋下1.5cm,血常规检查:WBC3.0×10/L,中性粒细胞60%,淋巴细胞40%,嗜酸性粒细胞0。ALT200U/L,血清抗-HBs阳性,该病例最可能的诊断是() A. 急性乙型肝炎 B. 伤寒 C. 钩端螺旋体病 D. 急性血吸虫病 E. 急性细菌性痢疾 参考答案:B 答案解析:伤寒是由伤寒沙门菌引起的急性肠道传染病,临床特征为持续发热、相对缓脉、神经系统中毒症状以及消化道症状、玫瑰疹、肝脾大与白细胞减少等。根据题中所述,应为伤寒。急性乙型肝炎血清检查应有HBsAg阳性。钩端
第5题: [填空题]
A BAD EXPERIENCE
I am glad I can hear from you so soon, and the thank you for the photos you sent me of our holiday together. It was very
station. I told the police what had happened but they don’t think whether 参考答案:WHETHER