工程造价信息不应是项目实施过程中产生数据的简单记录，应该经过信息处理人员采用定量工具

糖尿病酮症酸中毒的临床表现是( )

A．呼吸浅慢，不规则
B．呼吸闲难
C．呼吸深大，有烂苹果味
D．呼吸浅快，有大蒜味
E．呼吸深大，不规则

下面词语中书写全都正确的一项是（      ）

A．撒手人寰杜撰老黄历自命得意

B．揭竿为旗宵柝一炷香飞湍瀑流

C．金城汤池暮砧消锋镝沧海横流

D．弃甲曳兵跬步露马脚振济灾民

治疗痛经气滞血瘀证，应首先：（ ）

A．血府逐瘀汤

B．膈下逐瘀汤

C．少腹逐瘀汤

D．身痛逐瘀汤

E．通窍活血汤

The questions in this group are based on the content of a passage. After reading the passage, choose the best answer to each question. Answer all questions following the passage on the basis of what is stated or implied in the passage.

The complex life cycle of the Plasmodium protozoan, the causative agent of malaria, has contributed to the difficulty of devising effective public health measures to combat the disease. It took scientists centuries to deconstruct the basic relationship between protozoan, mosquito vector, and human host. Modern physiologists and epidemiologists are still working out the intricacies of malarial infection.

The disease is transmitted by the bite of a female Anopheles mosquito infected with the Plasmodium parasite. Only Anopheles mosquitoes are capable of transmitting the disease, and only females take blood meals from humans. To become infected with Plasmodium, the female mosquito takes a blood meal from a human carrying the parasite in his or her blood. Once ingested, the parasite matures in the mosquito’s gut for approximately a week, after which it migrates to the insect’s salivary glands. By mixing with the mosquito’s saliva, the parasite facilitates its transmission to a human host when the mosquito bites that human.

Once in a human’s bloodstream, the parasite travels to the human’s liver. At this initial stage, the Plasmodium parasite is called a sporozoite. Within the liver, the sporozoite can form 30,000 to 40,000 daughter cells, called merozoites, which are released into the host’s bloodstream at a later date, sometimes within a week of the initial infection and sometimes as much as several months later. The merozoites seek out and attach themselves to red blood cells, in which they incubate 8 to 24 daughter cells over the next two days. When the daughter cells are mature, the red blood cell ruptures and the new parasites are released into the bloodstream to seek out red blood cells of their own. Some of the new merozoites become male and female gametocytes; if these gametocytes are ingested by a mosquito feeding on the host’s blood, they will fertilize in the mosquito’s gut to produce new sporozoites, and the cycle will continue.

The symptoms that we associate with malaria--a high, recurring fever; joint pain; a swollen spleen--are caused by toxins released from the red blood cells ruptured by merozoites. The human spleen can destroy these infected blood cells, but the Plasmodium parasite counters this effect by increasing the stickiness of proteins on the blood cells’ surfaces so that the cells stick to the walls of blood vessels. If the sticky surface proteins affect a particularly large number of cells, the malaria can trans-form into a hemorrhagic fever, the most deadly form of malaria.

A further complicating factor in the natural history of malaria is the many variants of the Plasmodium protozoan. Scientists now recognize that malaria is caused by at least six different species: P. falciparum, P. vivax, P. ovale, P. malariae, P. knowesli, and P. semiovale. Of these species, P. falciparum accounts for the majority of infections and approximately 90 percent of malarial deaths in the world.

If a mosquito were to bite a person, and that person were later to develop malaria and die of the disease, it is most likely that the person was infected with which of the following ？（）

A. Anopheles gambiae

B. Anopheles semiovale

C. Plasmodium malariae

D. Plasmodium uivax

E. Plasmodium falciparum

患者男性，65岁，既往慢支肺气肿10余年，突发右侧胸痛，并伴呼吸困难，来诊。查体：气管向左侧移位、右侧胸壁隆起，呼吸运动和触觉语颤减弱，叩诊呈鼓音，听诊呼吸音消失。疑为气胸。

为确诊，下述检查中最有意义的是（）

A.胸部X线正位摄片

B.心电图检查

C.血气分析

D.血常规

E.以上都不对