问题 问答题

帕金森病的临床特征有哪些?

答案

参考答案:大部分PD患者在60岁以后发病。起病隐袭,缓慢发展,逐渐加剧。主要症状有静止性震颤、肌张力增高、运动迟缓等。震颤(tremor) 常为首发症状,典型表现是静止性震颤,拇指与屈曲的食指间呈“搓丸样”,紧张时加剧,入睡后消失。肌强直(rigidity) 肌强直表现为屈肌和伸肌同时受累,被动运动关节时始终保持增高的阻力。运动迟缓表现随意动作减少,包括始动困难和运动迟缓,面部表情肌活动减少,常常双眼凝视,瞬目减少,呈现“面具脸”。姿势步态异常 站立时呈屈曲体姿,行走时上肢的前后摆动减少或完全消失;出现慌张步态。其他症状:讲话缓慢,语音低沉单调,流涎。自主神经症状较普遍,如汗腺分泌亢进之多汗,消化道蠕动障碍引起的顽固性便秘,交感神经机能障碍所致的直立性低血压等。

阅读理解

阅读理解。

     The tower of Big Ben, London's most famous building, has always leaned (倾斜) slightly, but

construction work on a new line for the London Underground seemed likely to give the tower a

real lean. Engineers have had to prop up (支撑) its base to prevent it from damaging the rest of the

Houses of Parliament.

     To control the tower's movement,engineers pumped grout (水泥浆) into the soil under the tower.

The tower not leans an extra few centimeters, but the lean can only be seen by the most sharp-eyed

observer.

     Between 1995 and 1997, to lengthen the Jubilee line of the Underground, builders dug a

40-metre-deep hole just 31 metres north of the clock tower. And the new tube (underground ) tunnels

were even nearer to the tower. John Burland, who recently helped stop the increasing lean in the

Leaning Tower of Pisa and was an adviser to the Jubilee line project, believed the work would affect

the tower. In his opinion,no further lean should go beyond a safety limit of 27.5 millimetres over the

existing lean of 220 millimetres.

     To keep the lean within this limit,Burland told the British Association about the new method of

pumping grout immediately unde the base of the tower.More than 300 tons of grout were pumped

in during construction.The tower's additional lean went between 10 and 25 millimetres,but never

passed 27.5 millimetres.

      After the construction work was completed in last 1997, a review of movements in nearby walls

showed that the building was in better shape than had been thought before and the safety limit was

raised to 35 millimetres before any action needs to be taken.

     Since 1997,the tower had continued to lean, Burland told Modern Constuction.The latest

measurements,taken this year,suggest that the tower's lean had just reached 35 millimetres.But

following regular re-examinations of the tower,experts are sure that the tower has stabilised(稳定).

A spokesman for London Underground says: "We understand the tower has stabilised and retuned to

its normal movement cycle."

                                                                                   From Modern Construction, 16 September 2000

1. Which of the following drawings correctly shows how the propping up construction was carried out?

2. What does the word " review"(in Paragraph 5) mean?

A. Observation

B. Description

C. Discussion

D. Re-examination

3. Why was the propping up construction necessary?

A. To stop the tower of Big Ben from leaning

B. To stop sharp-eyed people from seeing the lean

C. To stop the Tower Pisa from leaning too much

D. To stop the clock tower from leaning beyond its safety limit

4. What was the existing lean of the tower at the time when the article was written?

A. 220 millimetres

B. 255 millimetres

C. 35 millimetres

D. 27.5 millimetres

5. We can infer from the article that _____.

A. the tower of Big Ben will damage the Houses of Parliament

B. the Jubilee line should be stopped in Burland's opinion

C. the writer is blaming Burland for making a mistake

D. the propping up work has proved to be successful

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