红红兴高采烈的把自己画的画给王老师看王老师不耐烦的不愿意看对此你怎么看？
参考答案
参考解析
【分析题】
女性，30岁 。腹胀半年，发热1个月 。
患者近半年感腹胀，未诊治 。近1个月发热，多于午后出现，体温在37 .5℃~38 .0℃之间，由门诊入院 。发病以来，食欲欠佳，每日排黄软便3~5次，无脓血便，尿量正常，体重减轻5kg 。3年前曾患"肠结核"，因出现药物不良反应中断治疗 。
查体：T 37 .8℃，P 100次／分，R 16次／分，BP 90/60mmHg 。神志清楚，无力体型，贫血貌，皮肤、巩膜无黄染，双肺未闻及干、湿啰音，心界不大，心率100次／分，律齐，各瓣膜区未闻及杂音 。腹部柔韧感，全腹压痛及反跳痛阳性，右下腹明显，肝脾肋下未触及，移动性浊音阳性，肠鸣音正常 。双下肢无水肿 。
实验室检查：血WBC 8 .9×10
/L，N 0 .46，L 0 .54，Hb 95g/L，Plt 280×10/L，粪常规：镜检（-），隐血（-），血沉54mm/h，肝、肾功能正常 。腹部B超提示：腹腔积液，肝、胆、脾、胰、双肾未见异常 。
钡灌肠检查示：回盲部及升结肠缩短、变形，激惹征阳性 。
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 。
患者近半年感腹胀，未诊治 。近1个月发热，多于午后出现，体温在37 .5℃~38 .0℃之间，由门诊入院 。发病以来，食欲欠佳，每日排黄软便3~5次，无脓血便，尿量正常，体重减轻5kg 。3年前曾患"肠结核"，因出现药物不良反应中断治疗 。
查体：T 37 .8℃，P 100次／分，R 16次／分，BP 90/60mmHg 。神志清楚，无力体型，贫血貌，皮肤、巩膜无黄染，双肺未闻及干、湿啰音，心界不大，心率100次／分，律齐，各瓣膜区未闻及杂音 。腹部柔韧感，全腹压痛及反跳痛阳性，右下腹明显，肝脾肋下未触及，移动性浊音阳性，肠鸣音正常 。双下肢无水肿 。
实验室检查：血WBC 8 .9×10
/L，N 0 .46，L 0 .54，Hb 95g/L，Plt 280×10/L，粪常规：镜检（-），隐血（-），血沉54mm/h，肝、肾功能正常 。腹部B超提示：腹腔积液，肝、胆、脾、胰、双肾未见异常 。钡灌肠检查示：回盲部及升结肠缩短、变形，激惹征阳性 。
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 。
【分析题】
设计任务：请阅读下面学生信息和语言素材，设计20分钟的英语听说教学方案。
教案没有固定格式，但须包含下列要点：
● teaching objectives
● teaching contents
● key and difficult points
● major steps and time allocation
● activities and justifications
教学时间：20分钟
学生概况：某城镇普通高中二年级（第一学期），班级人数40人，多数学生已经达到《普通高中英语课程标准（实验）》七级水平。学生课堂参与积极性一般。
语言素材：
The Louvre
From the earliest times, man has been interested in art. People have often worked together to collect and save the world's art treasure. Fine art treasures from many countries are kept in an art museum called the Louvre in Paris, France. The works of art have been collected by the people of France over many centuries.
The Louvre has not always been a museum. The ftrst building was a fort. In 1190, it was the kings' castle with high walls and a round tower. It had a moat to keep out his enemies. Over the years, the number of buildings around the castle grew. By 1350, the castle was no longer needed as a fort. The Louvre became a palace home for French kings and queens.
When Francis I became king of France in 1515,he brought in artists from many countries. One of the artists was Leonardo da Vinci from Italy. Da Vinci's "Mona Lisa" is the best known painting in the museum today. In 1973, the Louvre became a public museum, just as it is now. It is a place where art treasures have been saved for everyone to enjoy.
