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问题 单项选择题

二度Ⅰ型房室传导阻滞的心电图特征是（）

A.P-R间期进行性缩短，直至一个P波受阻不能下传到心室

B.相邻P-R间距进行性延长，直至一个P波受阻不能下传到心室

C.P-R间期进行性延长，直至一个P波受阻不能下传到心室

D.P-R间期>0.20秒，P波无受阻

E.P-R间期固定，P波间断受阻不能下传到心室

答案

参考答案：C

解析：二度房室传导阻滞可分为两型。Ⅰ型又称文氏现象，或称莫氏Ⅰ型，Ⅱ型又称莫氏Ⅱ型。文氏现象特点：①P-R间期逐渐延长，直至P波受阻与心室脱漏，②R-R间期逐渐缩短，直至P波受阻；③包含受阻P波的R-R间期比两个P-P间期之和为短。莫氏Ⅱ型特点：①P－R间期固定，可正常或延长。②QRS波群有间期性脱漏，阻滞程度可经常变化，可为1：1；2：1；3：1；3：2；4：3等。下传的QRS波群多呈束支传导阻滞图型

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林业有害生物防治工作必须坚持推行（）理念，以培育和恢复（）为目标，促进形成稳定的森林生态系统。
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Turkey’s Bodrum peninsula is different. The tourist boom in this part of the world (1) turned some small villages into resorts yet left neighbouring beaches undisturbed, making it quite (2) southern France or the Spanish Coasts where few stretches of coastline are undevelopeD．
The (3) for this happy set of circumstances is simple. For thousands of years, travel here (4) easier by boat than by lanD．So when mass tourism arrived in the (5) 1980s, there was no coast road for ribbon development to follow. So the peninsula, just (6) hour from Bodrum airport, has not become one long littoral of resort.
The building (7) new hotels has mainly been confined to places easily reached by then relatively (8) roads. Such ease of access has made Gumbet, near Bodrum, a busy resort, while the little fishing village of Gumusluk, 12 miles further west and only recently reachable by (9) , remains tranquil and undisturbeD．
It’s worth thinking carefully about location when planning a family (10) on the peninsulA．Choose a place that is centrally located, preferably out of earshot (11) Bodrum town’s "lively"—which means nosy—nightlife, and you can then use (12) area’s comfortably small scale to your advantage. Today’s new roads mean most places can (13) reached in under an hour by taxi or the ubiquitous dolmus-minibus.
The (14) of facilities at the Tamarisk Beach Hotel near the small village of Ortakent makes (15) a good base. The family-run hotel—rooms and suites are in two-storey buildings (16) by palm trees and flowers in terracotta pots—sits above its own sandy (17) beach, shaded by tamarisk trees and sheltered by nearby islands.
The hotel is (18) child-friendly, too. Children, from infants up to young teenagers, can take part in a (19) of games and activities that include tuition in windsurfing, dinghy (20) catamaran sailing.
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