患者女，66岁。与人聊天时突发右侧肢体不能活动，吐词不清，伴有同向偏盲。家人急送至急诊室，病程中患者无明显头痛、呕吐、抽搐或排尿、排粪失禁。既往无明确“高血压、糖尿病”史，否认近期有类似发作史。体格检查：血压153/64mmHg，意识清醒，两侧瞳孔等大，对光反射灵敏，右侧口角歪斜，伸舌右偏，颈无抵抗，心肺正常，右侧肢体肌力2级，病理征阳性。
患者最可能的诊断是（）
A.部分前循环梗死
B.脑出血
C.蛛网膜下腔出血
D.癔症样发作
E.大面积脑栓塞
参考答案：A
Happy birthday! Do birthday really make people happy? Of course they do．Birthday celebrate the day when we were born．Besides, that extra candle on the cake suggest another year of growth and maturity（成熟）—or so we hope．We all like to imagine that we are getting wiser and not just older．Most of us enjoy seeing the wonder of growth in others, as well．For instance, seeing our children develop and learn new things makes us feel proud．For Americans, like people in most cultures, growing up is a wonderful process．But growing old? That is a different story． Growing old is not exactly for people in youth-oriented（以年轻人为中心）American culture．Most Americans like to look young, act young and feel young．As the old saying goes, “You’re young as you feel．” Older people joke about how many years young they are, rather than how many years old．People in some countries value the aged as a source of experience and wisdom．But Americans seem to favor those that are young, or at least “young at heart”． Many older Americans find the “golden years” to be anything but golden．Economically, “senior citizens” often struggle just to get by．Retirement at the age of 65 brings a sharp decrease in personal income．Social security benefits usually cannot make up the difference．Older people may suffer from poor nutrition, medical care, and housing．Some even experience age discrimination（歧视）．American sociologist Pat Moore once dressed up like an older person and wandered city streets．She was often treated rudely--even cheated and robbed．However, dressed as a young person, she received much more respect． Unfortunately, the elderly population in America is increasing fast．Why? People are living longer．Fewer babies are being born．And middle-aged “baby boomers” are rapidly entering the group of the elderly．America may soon be a place where wrinkles（皱纹）are “in”．Marketing experts are ready noticing this growing group of consumer． Title: Different Opinions About 1._____________Old.
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