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1、中日对比(交通-经济)TheIntroductionofChinaHigh-speedRailwayHexieHao(Literally:Harmony)isthedesignationforhigh-speedtrainsrunningonthisrailsystem.Atthemiddleoftherun,alltrainsweremarked"CRH"onthecentreoftheheadvehicleandthesideofthewallsofeachvehicle.TheContractofTransportaionS
2、hinkanseChinaHigh-speedRailwaybetweenBeijingandShanghaiStartingtimeItfirstformallyusedin1940,butmanyplansabandonedin1943asJapan'spositioninWorldWarIIworsened.ItbeganinApril2008InitialsuccessTheTōkaidōShinkansenbeganserviceon1October1964,intimefortheTokyoOlympics.Itfin
3、ishedinMay2010TheinflunceofeconomyItenableddaytripsbetweenTokyoandOsaka,thetwolargestmetropolisesinJapan,changedthestyleofbusinessandlifeofJapanesepeoplesignificantly,andincreasednewtrafficdemandJustlikeshinkanse,itshortenthetimeintravalbetweenBeijingandShanghai.Andit
4、bringsthelargeopportunitestounemployedpeopleDifferenceChinaJapanMacro-economyOurcountry'smoderneconomysystemisunderconstructionJapan'smoderneconomysystem,financialsystem,andlegalsystem,themodernenterprisesystemhasaperfectmatureGrowthmodelextensivegrowthintensiveeconom
5、yIndustrialeconomyThefirstindustryhasfallenbelow5%,thethirdindustrycloseto60%Nowourcountryagriculturalemploymentpopulationstillaccountsforabout50%颅内感染与颅内出血病例分享老年女性,既往有高血压,扩心病病史,否认糖尿病,风湿性性疾病病史。因“发热4天”入院。院外体温最高达38.8℃,伴头痛,畏寒,无恶心,呕吐,咳嗽咳痰等。入院查体T:38.5℃,P:114次/分R:20次/分,BP:16
6、4/90mmHg,神志清楚,表情淡漠,反应稍迟钝,颈软,肺部查体无特殊,心率增快,心尖区可闻及杂音,腹部查体发现右上腹,右中腹压痛,神经系统检查未见明显异常。血常规白细胞及中性粒细胞计数增高,RBC,HGB,PLT未见明显异常,尿常规,胸片,上腹部B超,心脏B超未见明显异常入院诊断:脓毒血症:(1)沙门氏菌感染?(2)腹腔深部感染?(3)颅内感染?入院后予三代头孢菌素抗感染,清除炎症介质减轻全身炎症反应治疗。经治疗后患者病情无明显好转,入院第二天患者体温最高达39.9℃,考虑抗感染药物疗效不佳,因考虑沙门氏菌感染可能,联合喹诺酮类
7、抗菌药物抗感染治疗,调整抗生素后体温无明显下降,入院第三天最高体温达39.7℃,予糖皮质激素治疗后患者体温降至正常,但患者神志反而转为嗜睡,头痛程度较入院时加重,且查体发现轻度颈亢,考虑发热原因为颅内感染可能性大。行腰椎穿刺术明确诊断,术中引出血性脑积液,颅内压>400mmH2o,急行头颅CT提示左侧基底节区-鞍区脑出血破入脑室,蛛网膜下腔出血,考虑蛛网膜下腔出血,脑脊液生化示CL:126.50mmol/l,蛋白191.31mg/dl,GLU:1.58mmol/l,脑脊液常规提示细胞总数386000.0M/L,有核细胞数2340.
8、0M/L,单核细胞:8%,多个核细胞:92%。考虑颅内感染可能。转入神经外科后行脑血管造影提示右侧颈内动脉C1段动脉瘤形成,予动脉瘤栓塞术及抗感染治疗后患者病情好转出院。病情分析患者以发热入院,入院后血常规提示白细胞和中性粒细胞明显增高,考虑发热系