某患者意识清晰，不用口头语言交流，而只 能用书面或手势交流，考虑下列哪种情况

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SQL Error: select id,body,options from ***_enewstiku where sourceid='32600' and id < 2592256 and id<>'2592256' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='32600' and id > 2592256 and id<>'2592256' order by id asc limit 5