We must do something to stop people from

患者，女，32岁，每于经期头晕沉重，胸闷泛恶，少食多寐，苔白腻，脉滑。

治疗最佳方剂是（）

A.半夏白术天麻汤

B.杞菊地黄丸

C.归脾汤

D.天麻钩藤饮

E.通窍活血汤

烧伤患者补液的叙述，不正确的是（）。

A.晶体液首选生理盐水

B.胶体液首选血浆

C.生理需要量常用5%～10%葡萄糖液

D.速度先快后慢

E.液体先晶后胶，先盐后糖

患者，男性，42岁，间断低热、乏力3个月余，体温波动在37.4～38.1℃，自服感冒药疗效欠佳。1周来心悸伴气短，呈进行性加重，阵发性心前区不适，活动明显受限，夜间高枕卧位，小便量不多。查体：T37.8℃，P102次／分，BP92/68mmHg，神志清楚。颈静脉充盈，左下肺呼吸音低，心界向两侧扩大，心音遥远，肝肋下2.5cm，双下肢水肿。

根据患者临床表现及体征，最可能的诊断是（）

A.风湿性心脏病

B.扩张性心肌病

C.心包积液

D.缩窄性心包炎

E.二尖瓣狭窄

These are hard times for Deutsehe Bank, despite its huge strides in investment banking. Next week its chief executive, Josef Ackerman, goes on trial in Dusseldorf. Careless words by Rolf Breuer, the head of its supervisory board, led to another court ruling last month that may cost Germany’ s biggest bank several hundred million euros in damages. Then there is Parmalat. Although no evidence has emerged of complicity in the Italian dairy group’ s fraud, Deutsche’ s name has become entwined in the affair.

In many other respects, however, Deutsche’ s reputation has never been higher. In dubbing it " Bank of the Year 2003", International Financing Review, the capital markets’ favorite newssheet, purred that Deutsche was a "lean, aggressive, focused universal bank" In the league tables that investment banks watch so keenly, Deutsche excelled last year as lead manager of bonds and convertible bonds and of some racier products, such as repackaged debt securities and high-yield "junk" bonds. In other disciplines it rarely fell below the top ten in the world.

However, it is still nowhere near the top in equity offerings and advice on mergers and acquisitions, except in Germany. It still has a problem with costs,which were a fat 82% of income in the third quarter of 2003, thanks mainly to the thick pay packets of its investment bankers and its poor returns from corporate and retail banking.

Mr. Ackermann must try to improve the weak spots while spending two clays a week, probably until June, in a courtroom. He and four others face charges of "breach of trust" over the way bonuses were awarded to board meinbers of Mannesmann, a telecoms company. Mr. Aekermann sat on Mannesmann’ s supervisory board. There is no suggestion that he gained personally. Nor was there any harmful intent in Mr. Breuer’ s remarks in a television interview about the financial health of the Kirch media group shortly before its bankruptcy. But he was careless, and a Munich court found Deutsche (but not Mr. Breuer) liable for damages, to be set in due course, without right of appeal. The bank said this week it has lodged a protest with the federal supreme court in Karlsruhe. Meanwhile, Kirch has filed a suit against Deutsche in America.

Deutsche’s involvement with Parmalat also looks sloppy. It led a 350m bond issue fur the group in September. It was also a leading borrower and lender of Parma[at shares, so that in November it technically held the voting rights to over 5% of Parmalat stock. That stake had fallen to 1.5% by December 19th, the day the dairy company’s black hole became public. It reported this, perhaps over-zealously, to the Italian authorities. That may have given the wrong impression, say, sources close to the bank, because the transactions were for third parties.

This is awkward for a bank that managed to avoid most serious attacks on conflicts of interest thai beset the investment-banking industry following the collapse of Enron in 2001 and the bursting of the tech-stock bubble. Mr. Ackermann will need a clear head to steer the bank through the coming storms.

It can be inferred from the text that（）

A. the chief executive of Deutsche will be found guilty by court

B. it is yet to be found whether Deutsche is involved ira the fraud

C. Deutsche’ s reputation has been ruined by its present problems

D. the head of Deutsche’ s supervisory board is a shrewd banker

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