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The boy died at last.Even if he had been attended without de

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The boy died at last.Even if he had been attended without delay,he couldn't have been saved.
能给我讲解一下第二句话后半句吗?第二句话是虚拟语气吧?could在虚拟语气中的用法是怎样的啊?
The boy died at last.Even if he had been attended without de
没错,是虚拟语气.
意思是“即便他得到及时的看护,他也不可能被救活.”
could 和 should、would 、might 或者它们的否定词,在虚拟句中后面都要跟着完成时.