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()的人物画如《曹雪芹像》的成功,在于“看法是非常深刻的”和其他手艺比较好的画家有更强的“塑造的功力”,这正是创作过程中两个重要的方面——()和()。
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膏淋病久不已,反复发作,淋出如脂,涩痛不堪,形体日渐消瘦,头昏乏力,腰膝酸软,舌淡苔腻,脉细无力,此为脾肾两虚,气不固摄,宜选方()
出生后第一个十年内那个系统基本不发育()
病历摘要男性,17岁。间断发热1周,乏力、纳差、尿黄2天入院。患者1周前出现发热,体温最高达39℃,伴畏寒,并感疲乏无力,食欲下降,尤厌油腻饮食,偶恶心、呕吐,呕吐物为胃内容物。2日前体温渐降至正常,但乏力、食欲缺乏持续存在,且出现轻度上腹胀痛,尿液发黄。既往史:1个月前有生食海鲜史。否认慢性胃肠道及肝胆系统疾病史,否认家族遗传病史,无药物过敏及手术、外伤史。无饮酒等不良嗜好。无吸毒、输血史。查体:T36.5℃,P90次/分,R18次/分,BP115/75mmHg。神志清楚,精神欠佳,自主体位,查体合作。全身皮肤巩膜中度黄染,未见瘀点、瘀斑,未见肝掌及蜘蛛痣,浅表淋巴结未触及。双肺呼吸音清,未闻及干、湿性啰音,心界不大,心率90次/分,律齐,各瓣膜区未闻及杂音。腹平软,肝肋下2cm,质韧,有轻度压痛和叩击痛,脾肋下2cm。移动性浊音阴性,双下肢无水肿。辅助检查:ALT800U/L,AST500U/L,TBil200μmol/L,DBil130μmol/L。要求:根据以上病历摘要,请写出初步诊断及诊断依据、鉴别诊断、进一步检查与治疗原则。
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