问题 多项选择题 案例分析题

某患儿6个月因发热1天抽搐一次来院急诊,抽搐呈全身大发作状,到院时抽搐已止。患儿既往史无特殊。急诊体检:患儿体重6kg,体温39.5℃,神清,精神萎。呼吸尚规则,无皮疹,心率150次/分,骨骼未见畸形,四肢肌张力略低,双侧巴氏征阳性。急测血WBC10×109/L,N40%。

病儿出现下列哪项表示预后不良()

A.发作前均有发热,多在发热初起体温骤升时发作

B.惊厥呈全身性,持续时间不超过10分钟

C.发作1周后脑电图异常

D.惊厥反复发作

E.神经系统检查阳性

F.脑脊液检查示压力增高

答案

参考答案:C, D, E

解析:高热惊厥好发年龄为6个月至3岁,上感引起者占60%;常在病初体温急剧升高时发生,体温常达39~40℃以上;全身性抽搐伴有意识障碍,但惊止后,意识很快恢复;一般只发作1次,抽搐时间短暂,数秒至数分钟,一般不超过5~10分钟;神经系统检查为阴性,脑脊液检查除压力增高,无异常发现。

阅读理解

Pop star Britney Spears tied the knot with a childhood friend,but their two-day-old marriage was dissolved Monday shortly after Britney filed for an annulment(废除契约/婚约).She described the marriage as “ a joke that went too far,” said one source closed to Spears.“I don’t even know if she loves him,”the source said.

The 22-year-old diva(most important singer)walked down the aisle at a Las Vegas wedding chapel early Saturday,the reports said,marrying Jason Alexander,also 22,a childhood friend from her hometown of Kentwood,Louisiana whom she had recently begun dating.

Spears wore jeans and a baseball cap,and was escorted(护送)down the aisle by a hotel bellman,according to the People.com.

The two apparently decided to marry while partying at the Palms Casino Hotel Friday night,and did so at the Little White Wedding Chapel in Las Vegas.The honeymoon was spent at the Palms,but the next night Spears was seen dining with a group that did not include the groom at a hotel steakhouse.

Raised in the US south,the pop diva started her career at a television program The Mickey Mouse Club at age 11,becoming a famous teen singer.

All four of her CDs, including most recently November’s “In the Zone,”debuted at number one on the charts.

60.The underlined phrase at the beginning of the passage mean       .

A.begin to quarrel       B.get married   C.fall in love    D.get divorced

61.The news about Spears’s clothes was most probably taken from a(a n)       .

A.newspaper         B.broadcast station    C.internet   D.magazine

62.People would have guessed their marriage wouldn’t last long because       .

A.Spears was seen to have fun without her newly-married groom

B.Spears was a person forever changing her mind

C.Spears had an odd character

D.Spears had such a kind of history before

63.What made Spears most famous in the world is that        .

A.she got married to a man who she just dated for two days.

B.she got divorced two days after her new marriage.

C.she began to appear on the stage as a teen singer.

D.she made great achievements in singing.

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