问题 多项选择题 案例分析题

男性,30岁。不慎从高处坠落造成腰椎骨折致截瘫1年。因长期卧床发生骶尾部及大腿压疮。查体:消瘦,营养不良,精神较差。压疮位于骶尾部并延至左臀部,创面呈椭圆形,约为10cm×7cm大小,分泌物较多,骶骨部分骨质外露,创周皮肤发暗变硬。左大腿股骨大转子处有一大小约3cm×3cm溃疡创面,肉芽组织水肿老化,分泌物不多。双下肢肌力0级。

采用臀大肌肌皮瓣转移修复骶尾部创面,正确的是()

A.臀大肌肌皮瓣组织量丰厚,血供好,抗感染力强

B.臀大肌肌皮瓣的血供主要来源于臀下动脉浅支

C.臀大肌受臀下神经支配

D.臀上动脉的体表投影在髂后上棘与股骨大转子尖端的连线

E.髂后上棘与股骨大转子尖端的连线中下1/3交界处为臀上动脉出梨状肌上孔处,可作为肌皮瓣旋转轴点

F.肌皮瓣供区必须行游离植皮覆盖

答案

参考答案:A, C, D

完形填空

阅读短文,根据其内容回答问题。

Phys ed (physical education) is making a comeback, but with a difference. The new way is to teach skills that are useful beyond gym class, like lifting weights, balancing their diets and building physical endurance(耐力).

Considering that 15% of American children 6 to 18 are overweight, supporters say more money and thought must be put into phys ed curriculum. In many cases, that may mean not just replacing the old gym-class model with fitness programs but also starting up phys ed programs because school boards(教育委员会)often “cut P.E. completely or decrease(减少)its teachers or the days it is offered,” says Alicia Moag-Stahlberg, the director of Action for Health Kids. The difference in phys ed programs is its short of a national standard.

The wisdom of the new idea has some scientific support. Researchers at the University of Wisconsin have showed how successful the fit-for-life model of gym class can be. They observed how 50 overweight children lost more weight when they cycled and skied cross-country than when they played sports. The researchers have also found that teaching group sports like football results in less overall(全体的)movement, partly because the students who are unwilling to do may sit on the bench.

Another problem with simply teaching group sports in gym class is that only a small part of students continue playing them after finishing their high school. The new method teaches skills that translate to adulthood, which means kids are given skills and experiences so they can lead a physically active life in their future.

小题1:Is the new Phys ed program different from the one before?

小题2:What does the new P.E. program teach the students?

小题3:According to the passage, what do some school boards do with P.E?

小题4:What are the problems with simply teaching group sports?

小题5:What’s the passage mainly about?

解答题