32岁，孕2产1，5年前妊娠足月因胎儿窘迫行刮宫产术，此次孕39周，自然临产入院，查LOA，胎心率144次/分，规律宫缩6小时后发现子宫下段压痛，伴有血尿，此时宫口开大8cm，胎心音好，宫缩45s/5min，此时最恰当的处理是
A．人工破膜，加速产程进展
B．立即产钳助产，结束分娩
C．用硫酸镁抑制宫缩
D．立即剖宫产
E．肌注镇静剂
参考答案：D
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| Sometimes I think Dad loves that dog more than he loves us, 1 I don't get jealous when Dad spends time with his 2 . When Dad takes his family out for a picnic, Pluto always gets to go along anyway. The moment Dad arrives from the office, he 3 in a room or behind the door and yells, "Pluto, come and get me." Pluto 4 runs around trying to find his lost 5 . Pluto usually wins and his victory is celebrated with his favorite biscuits. Dad's 6 with Pluto are like the dog isn't a dog at all but another human being and that's the scary part. Has Dad 7 the ability to distinguish (区别) between a man and an animal? I was 8 enough about this. So one day I gathered my 9 and asked him. "Dad, do you know you talk to that dog of yours just like to a human being?" Dad looked me 10 in the eye. I thought he might be 11 at my question. But he just smiled, reached out and patted my head and said, "Yes I do,and the reason is 12 . If I talk down to him, he doesn't 13 me but if I carry on a normal conversation, then Pluto 14 everything I say." I stood there wanting to ask more 15 , but decided that was not the best time. And so for a few days, I 16 everything I could about my father and the dog. And I know the dog never receives direct 17 . He never hears sit, lie down or anything like that. What he 18 are suggestions, "Would you like me to feed you now? Shall we go for a walk?" What's amazing is that Pluto does 19 everything Dad says. Their communication is as near to being perfect as possible. And it's not 20 Pluto that understands, but it's Dad, too. Each seems to know what the other needs at any time. | ||||
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