中度脑损伤GCS评分为（）_康复医学中常见疾病的康复_全学科试题题库

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中度脑损伤GCS评分为（）
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男性，72岁，反复咳嗽、咳痰、喘息16年，再发伴发热1周。患者16年前无明显诱因出现咳嗽，咳白色泡沫痰，喘息。无发热、心悸。此后上述症状反复发作，多以受凉、季节变化为诱因，每年累计发病时间约3个月，经抗炎、止咳、平喘等治疗，病情可逐渐好转。1周前患者因受凉再发咳嗽，咳少量黄脓痰，轻微活动后即感喘息，伴发热，体温最高39.2℃。外院血常规示"WBC9.4×10/L，N0.92"，经抗感染治疗后，体温降至37.0~38.0℃，但其他症状缓解不明显。本次发病以来，精神、食欲、睡眠差，需高枕卧位，大小便未见异常，体重无明显变化。平素体健，否认传染病接触史。吸烟50余年，20支／日，饮白酒约40年，100g/日。无遗传病家族史。查体：T37.5℃，P99次／分，R24次／分，BP135/80mmHg。急性病容，呼吸急促，精神差。口唇轻度发绀。全身浅表淋巴结未触及肿大。桶状胸，叩诊呈过清音，呼吸音稍低，双下肺可闻及散在细湿啰音，偶闻及哮鸣音，未闻及胸膜摩擦音。心界无扩大，心率99次／分，律齐，各瓣膜区未闻及杂音。腹部平软，无压痛，肝脾肋下未触及。双下肢无水肿。辅助检查：血常规Hb163g/L，RBC5.32×1012/L，WBC7.7×109/L，NO.82，P1t291×109/L。肝肾功能及电解质未见异常。动脉血气分析（未吸氧）pH7.35，PaO240mmHg，PaCO251mmHg，HCO3-27.4mmol/L，SaO284％。要求：根据以上病历摘要，请写出初步诊断、诊断依据（如有两个以上诊断，应分别写出各自诊断依据，未分别写出扣分）、鉴别诊断、进一步检查与治疗原则。

Moderate Earthquake Strikes England A moderate earthquake struck parts of southeast England on 28 April 2007, toppling chimneys from houses and rousing residents from their beds. Several thousand people were left without power in Kent County. One woman suffered minor head and neck injuries. "It felt as if the whole house was being slid across like a fun-fair ride," said the woman. The British Geological Survey said the 4. 3-magnitude quake struck at 8:19 a.m. and was centered under the English Channel, about 8.5 miles south of Dover and near the entrance to the Channel Tunnel. Witnesses said cracks appeared in walls and chimneys collapsed across the county. Residents said the tremor had lasted for about 10 to 15 seconds. "I was lying in bed and it felt as if someone had just got up from bed next to me." said Hendrick van Eck, 27, of Canterbury about 60 miles southeast of London. "I then heard the sound of cracking, and it was getting heavier and heavier. It felt as if someone was at the end of my bed hopping up and down." There are thousands of moderate quakes on this scale around the world each year, but they are rare in Britain. The April 28 quake was the strongest in Britain since 2002 when a 4.8-magnitude quake struck the central England city of Birmingham. The country's strongest earthquake took place in the North Sea in 1931, measuring 6.1 on the Richter scale. British Geological Survey scientist Roger Musson said the quake took place on 28 April in an area that had seen several of the biggest earthquakes ever to strike Britain, including one in 1580 that caused damage in London and was felt in France. Musson predicted that it was only a matter of time before another earthquake struck this part of England. However, people should not be scared too much by this prediction, Musson said, as the modern earthquake warning system of Britain should be able to detect a forthcoming quake and announce it several hours before it takes place. This would allow time for people to evacuate and reduce damage to the minimum. France and several other European countries sent their medical teams to work side by side with the British doctors.（） Many walls and chimneys were damaged during this quake.（） The country′s strongest earthquake took place in London in 1580.（） Musson predicted that another earthquake would occur in southeast England sooner or later.（） It can be inferred from the passage that England is rarely hit by high magnitude earthquakes.（） The modern earthquake warning system of Britain could detect a forthcoming quake.（） During the April 28 earthquake, the whole England was left without power.（） The Channel Tunnel was closed for 10 hours after the earthquake occurred.（） It was reported that one lady had got her head and neck injured, but not seriously.（） The April 28 quake was stronger than the one of 2002.（）

等MA数下降，会使什么速度超限？

常用沉淀蛋白质的方法有（），（），（）和（）等。