问题 问答题 案例分析题

右髋关节后脱位:男性,40岁,右髋外伤后疼痛,不能活动四小时四小时前患者乘公共汽车,左下肢搭于右下肢上,突然急刹车,右膝顶撞于前座椅背上,即感右髋部剧痛,不能活动。遂来院诊治。患者身体素健。无特殊疾病,无特殊嗜好。检查:全身情况良好,心肺腹未见异常。骨科情况:仰卧位,右下肢短缩,右髋呈屈曲内收内旋畸形。各项活动均受限。右大粗隆上移。右膝踝及足部关节主动被动活动均可,

答案

参考答案:

右下肢感觉正常。

一、诊断及诊断依据

(一)诊断右髋关节后脱位

(二)诊断依据1.典型的受伤机制2.大粗隆上移3.典型的右下肢畸形表现4.右下肢其它关节功能正常,感觉正常,说明未合并坐骨神经损伤

二、鉴别诊断1.股骨颈骨折和转子间骨折(骨折机制走路滑倒时,身体扭转倒地所致患肢短缩,患髋呈屈曲内收外旋畸形)

三、进一步检查右髋正侧位X线片可证实脱位,并了解脱位情况及有无合并骨折

四、治疗原则1.无骨折或只有小片骨折的单纯性后脱位,应手法复位,皮索引固定2.如髋臼后缘有大块骨折或粉碎骨折或股骨头骨折,属复杂性后脱位,目前主张早期手术治疗,切开腹位与内固定

单项选择题 案例分析题
阅读理解

阅读理解。

     Today, the world is rapidly urbanizing. With half of the world population expected to live in cities by

the early part of the 21st century, the Shanghai 2010 World Expo's focus on a better city bears

profound meaning.

     What might future cities look like 28 years from now? Here are some scenarios: things to come, things

to go.

     Zero waste

     Waste disposal is one of the biggest headaches for cities.Apart from recyclable waste, everything is

buried or incinerated, only to pollute the environment.Plastic waste remains underground for several

decades.The world produces much more garbage that it can dispose of.

     Now at the Expo, all waste is delivered to a compression station where the waste is sorted, filtered,

decontaminated, deodorized and compressed before finally being disposed of at designated spots.In

Beijing, people living in the Asuwei area turn their household waste into organic fertilizers which are

used to grow plants at residence communities.

     No more transportation problems during Spring Festival

     The Spring Festival, the most important Chinese holiday when everyone returns home, has caused

headaches for millions of Chinese.More than 2 billion people travel at the same time, making obtaining

travel tickets and the journey difficult.

     But in 28 years.Spring Festival travel may not be a problem at all.China plans to have more than

120,000 kilometers of railway and a rapid transportation network that will serve 90 percent of the

population by 2020.And because most of China will be cities, people will not have to go to other

places to find a job, so migration will no longer be so large-scale.

     Newspapers to disappear

     American scholar Philip Meyer predicts that newspaper will come to an end in 2043.Utagawa

Reizou, former editor-in-chief of The Mainichi Daily News.believes that the newspaper will be gone

in 2030. This kind of  prediction may worry those in print news business. In the U.K., the circulations

of  national newspapers are declining. Major Japanese newspapers have gone into debt. In the US,

declining circulations and ad revenues have forced several newspapers to stop printing paper

     Editions

     Media tycoon Rupert Murdoch thinks the future of media relies on interaction through the Internet.

In the future, digital newspapers will be sent to portal web terminals through wirelessly.Readers can

discuss issues with journalists and editors.Information will move faster.

     Oil to run out

     In August 2009, Fatih Birol, chief  economist of the International Energy Agency, said that oil is

running out faster than expected and that the world will likely feel the tightness in supply in the next five

years. Scientists have found substitutes for oil as fuel,coal,natural gas,solar power, nuclear power and

even water can replace oil as sources of energy.Flammable ice reserves alone can support humans for

the next 1,000 years.

1.By now, the world population in cities has grown to about _____.

A. 6.9 billion      

B. 0.75 billion  

C. 3.5 billion      

D. 1.3 billion

2.Which of the following statements is TRUE?

A. Everything buried or incinerated, besides recyclable waste, pollutes the environment.

B. People deal with their household waste in an environmental-friendly way in the Asuwei area, Beijing.

C. More than 2 billion people suffer from headaches during the Spring Festival in China.

D. By 2020, 90 percent of the population will have to go to other places to find a job.

3.According to the American predictor Philip Meyer, what will happen in 2043?

A. Newspaper will disappear.

B. Japan has to stop printing newspaper.

C. Digital newspaper will be sent to portal web terminals.

D. Information will move faster.

4._____ can replace oil as sources of energy in the future.

A. Coal and natural gas            

B. Solar power and nuclear power

C. Water and flammable ice reserves    

D. All the above

5.Which of the following can be the best title for the passage?

A. The Shanghai 2010 World Expo    

B. What will city life be like in 28 years

C. A rapidly urbanizing world            

D. Things to come, things to go