问题 单项选择题

经产妇,临产16小时,破膜18小时。宫缩强,下腹压痛,枕左前位,先露高,胎心150次/分,宫口开大2cm,胎头双顶径9.6cm,导尿见肉眼血尿。最可能的诊断是()

A.子宫破裂 

B.先兆子宫破裂 

C.胎盘早剥 

D.忽略性肩先露 

E.脐带脱垂

答案

参考答案:B

解析:

先兆子宫破裂常见于产程长、有梗阻性难产因素的产妇,表现为:①产妇烦躁不安和下腹疼痛,排尿困难或出现血尿及少量 * * 流血。②心率、呼吸加快,子宫收缩频繁,呈强直性或痉挛性收缩;子宫体及下段之间可出现病理缩复环,并有明显宫缩;胎先露部固定于骨盆人口。③胎动频繁,胎心加快或减慢,胎儿心电图可出现不同程度的胎儿窘迫征象(重度变异或晚期减速)。因胎先露部下降受阻,子宫收缩加强,子宫体部肌肉增厚变短,下段肌肉变薄变长,两者间形成环形凹陷,称病理缩复环。子宫病理缩复环形成,下腹部压痛,胎心率改变及血尿出现是先兆子宫破裂的

填空题

How many of us would temp for three years while we waited for the perfect job Not many of us, perhaps. But Wentworth Miller, the "Prison Break" star, said he chose to wait even longer time (1) he found the right job.
"Actually I think it might have been three or four years until I was lucky enough to get guest (2) on TV shows," said Miller, 34, who rose to international stardom (3) to "Prison Break" in 2006. That kind of patience and p will was portrayed in "Prison Break". Miller (4) engineering wizard Michael Scofield, who tries everything to break out of a Chicago (5) with his brother. Miller said he was fond of his character, (6) he said "exists in shades of grey".
Miller comes from a (7) of teachers. He said he didn’t seem fated for a career in the arts, (8) his passion for acting. After (9) from Princeton with an English degree, he moved (10) his parents’ request to Los Angeles to look for a stable life. He started (11) in a little company that made television movies. This (12) simply faxing, filing, walking the boss’ dog and going to the store for the boss’ lunch. Every weekend during the summer, Miller (13) go to the office (14) he didn’t have air-conditioning. "I would hang (15) in the conference room and set up camp and rob the company kitchen," recalled Miller.
(16) , Miller realized he still had questions about his choice. He decided to quit. But the boss said he was making a mistake and offered him a well-paid assistant position. "I eventually (17) that if I did the corporate job, it would be great if I was successful, but I would always wonder about the (18) . If I did the acting and was successful, I would never wonder (19) that job," he explained. He quit and temped (20) many people in the entertainment industry.
Now, he’s a hot star and has people coming up to him at film festivals saying, "Weren’t you the one who (21) to stand by the copy machine "
"That was tough, but I’m glad I have that perspective. Because now I’m at a point (22) big shots laugh at all my jokes and I think, You know, I got coffee for people like you for six years’. So I know what’s (23) , because I’ve seen the other side." But what if, when he was offered the corporate job, there had been more money "It was never about the (24) There’s a kind of excitement that comes along with acting. I can’t find it anywhere else. Even if I had to go back to temping, even if this is not the beginning of an amazing career, I would not (25) making that jum
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单项选择题