问题 问答题 简答题

试述心内膜弹力纤维增生症的诊断要点。

答案

参考答案:

心内膜弹力纤维增生症的诊断要点:①早期发生充血性心力衰竭,有急有慢,大部分为生后6个月内婴儿,多因呼吸道感染或肺炎诱发。对强心苷虽尚敏感,但心力衰竭常较顽固和反复加重,极少数早期病例可无心衰出现。②心脏杂音较轻或无,少数可有二尖瓣关闭不全的Ⅱ、Ⅲ级杂音。心率增快,奔马律。③超声心动图示左室心内膜增厚及回声增强;心脏扩大,以左室、左房为主;收缩、舒张功能异常。④胸部X线示心脏扩大,左心为主,透视见搏动减弱。⑤心电图示左室肥大,左心前导联电压增高,常伴T波呈缺血性倒置。心律失常少见。⑥排除其他心血管疾病。

完形填空

第四部分:写作(共两节,满分35分)

第一节,阅读下面对话,掌握其大意,并根据所给首字母的提示,在标有题号的右边横线上写出一个英语单词的完整、正确形式,使对话通顺。(满分10分)

Jim: What’s wrong, Ann? You don’t look good.

Ann: I’m OK. I’m just (76) t_______. I didn’t sleep well last night            76.  t ________

Jim: That’s too bad. (77) W______ couldn’t you sleep well?                 77.  W_________

Ann: Well, I had a dream. I (78) w_______ up at three in the morning,         78.  w________

and I couldn’t get (79) b_____ to sleep.                               79.  b__________

Jim: Do you (80) r______ the dream?                                   80.  r________

Ann: Yes, I do. (81)F______, a big lion came into my room and               81. F________

jumped on my bed. I thought it was going to eat me. I was really frightened.

Jim: What happened next?

Ann: Well, then I started talking to the lion. I said, “ Please don’t eat me.

Get off  (82) m______ bed, and I will give you some food. Then maybe you   82.________

will be happy and go away.”

Jim: How did the dream end?

Ann: Well, I closed my eyes and counted to one hundred.

Then I (83) o_____ my eyes, and the lion was gone. But…                 83. o_______

Jim: But what?

Ann: My cat, Poco, was sitting (84) o______ my bed. He was watching me.      84 . o_______

Jim: Oh, now I understand. I think you should give Poco a lot of (10) f____ tonight. 85. f_____

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