问题 问答题

一肥胖男性,患糖尿病已10余年,未经治疗。近一年左下肢行走时疼痛,出现间歇性跛行。近一个月该肢体足前端剧痛,坏死变黑。试分析这病人下肢的疾病和糖尿病有什么关系

答案

参考答案:糖尿病病人的糖、脂肪、蛋白质代谢紊乱,同时还有血流动力学、纤溶系统以及血小板功能异常,血管内皮功能紊乱、激素调节失常等,这些因素可促进动脉粥样硬化形成、血栓形成。该患者由于糖尿病促使左下肢发生动脉荆样硬化,引起下肢供血不足,行走时下肢因缺血加重而疼痛,但休息后好转,即间歇性跛行。动脉粥样斑块可并发血栓形成,或由于斑块内出血导致管腔闭塞,引起该肢体足前端发生梗死。同时由于糖尿病患者抵抗力低下,易合并腐败菌感染,形成坏疽,病灶局部变黑,并有剧烈疼痛。

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Don't you just love ice skating every winter? I am sure, that since winter is approaching, your skates are set to come out, just waiting to be used. Impress your friends with your new trick on how to ice-skate backwards with the help of these tips. Skating backwards on ice is a bit difficult but once you master the basic, there' s nothing like it. Follow the steps given below and you will be able to skate backwards in no time.     

Stand Straight

The first thing that you need to do is, stand straight. If you feel that you are falling backwards, then just put your chin up and slightly bend your knees. Don't worry; this happens to all.

Confidence is What You Need

The most important step while learning how to skate backwards, is having enough confidence in yourself and in what you are doing. How can you achieve this? By practice. Just practice rolling backwards down a gentle slope every single day or just by pushing off from a wall or something of that sort. But before you do that, make sure that the place where you are practicing is free from any kind of debris(碎片)because otherwise, you could end up in the hospital due to some accident. While going backwards, just get used to the feeling of moving backwards. One of the important ice skating tips and techniques is that if you feel that you are losing your balance, then scissor (做剪式运动) your skates. Keep practicing this till you are confident about it.

Maintain Speed

Confident now? Great! Now the next step is to maintain your speed. While rolling in a straight line with one skate, with the other try sculling (滑浆), that is, keep pushing yourself backwards with an outwards stroke (滑动). Now bring the skate which you were using to scull, and then again, repeat the same process. Make sure that you put most of your weight on the skate which is moving straight and not the one with which you are sculling. Now, try the same thing using the other foot. Again keep doing this till you are confident enough.

Increase Your Speed Now

Once you are confident that you can scull with either foot, the next thing that you have to do is increase your speed. Try some of your own tricks now. Scull with either foot or with both at the same time.

Scull and Be Aware

While you keep one foot straight, keep sculling with the other. You can do that simultaneously with both feet. Concentrate on what you are doing but don't get so involved that you don't see where you are going. If you are not watching your back, you might just bang against something or someone.

小题1:According to the text, confidence comes from ________ .

A.constant exercise

B.strict coaches

C.high speed

D.good techniques小题2:Which is the right order of ice-skating backwards?

a. Increasing your speed.                       b .Being able to scull with one foot.

c. Being about to stand straight.                   d. Trying some different tricks.

A.c→a→d→b

B.c→b→d→a

C.c→b→a→d

D.a→c→b→d小题3: In the last paragraph the author mainly wants to express _________.

A.one must be brave to learn to ice-skate backwards

B.skating and keeping cautious are both important

C.it’s difficult to concentrate when ice-skating backwards

D.it' s a common thing to hit someone when ice skating backwards小题4:The purpose of the text is _______ .

A.to offer some advice on ice-skating backwards

B.to introduce the culture of ice-skating backwards

C.to explain advantages of ice-skating backwards

D.to compare different ways of ice-skating backwards